Optimization of the choice of bariatric surgery in a patient with heartburn and gastroesophageal reflux disease
https://doi.org/10.17238/2072-3180-2022-3-106-115
Abstract
Nowadays, there is no questions about the effectiveness of bariatric surgery for weight loss and improvement of the course of the metabolic syndrome. However, their influence on gastroesophageal reflux disease (GERD) and its main symptom – heartburn – remains discutable. Sleeve gastrectomy (SG) is one of the most frequently performed laparoscopic bariatric operations. It is considered that SG may lead to occurrence de novo or escalation of existing symptoms of reflux. But sometimes weight loss after bariatric surgery lead to decrease of such symptoms. In this regard, there is no consensus on whether it is worth considering the existing GERD as an absolute contraindication to the implementation of SG. The effect of gastric bypass (GBP) on the course of GERD seems to be more favorable. At the same time, cases of postoperative deterioration are also described in the literature. This article provides a review of the literature on the natural course and treatment of GERD, the impact of bariatric surgery on the disease, and proposes an algorithm for choosing a surgical intervention based on the review.
About the Authors
O. M. Berko
Gastroenterological Center «Expert»
Russian Federation
Russian Federation
Berko Olesya Mikhailovna – gastroenterologist
197110, st. Pionerskaya 16, St. Petersburg
O. V. Kornyushin
«Almazov National Medical Research Centre» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Kornyushin Oleg Viktorovich – Candidate of Medical Sciences, Leading Researcher at the Research Laboratory for Surgical Correction of Metabolic Disorders, Senior Researcher at the Research Laboratory of Myocardial Metabolism, Surgeon
197341, st. Akkuratova 2, St. Petersburg
S. N. Mekhtiev
Gastroenterological Center «Expert»
Russian Federation
Russian Federation
Mehtiyev Sabir Nasredinovich – Doctor of Medical Sciences, Professor of the Department of Hospital Therapy with a Course of Allergology and Immunology named after Academician M.V. Chernorutsky with the clinic, First St. Petersburg State Medical University named after Academician I.P. Pavlova; Chairman of the Hepatosection of the St. Petersburg Society of Therapists named after S.P. Botkin; chief physician, gastroenterological center “Expert”
197110, st. Pionerskaya 16, St. Petersburg
A. E. Neimarck
Gastroenterological Center «Expert»; «Almazov National Medical Research Centre» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Neimark Alexander Evgenievich – Candidate of Medical Sciences, Associate Professor, Head of the Laboratory of the Research Laboratory for Surgery of Metabolic Disorders, Leading Researcher, Surgeon of the Federal State Budgetary Institution “N.N. V. A. Almazov, Ministry of Health of Russia; surgeon, gastroenterological center “Expert”
197341, st. Akkuratova 2, St. Petersburg
197110, st. Pionerskaya 16, St. Petersburg
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Review
For citations:
Berko O.M., Kornyushin O.V., Mekhtiev S.N., Neimarck A.E. Optimization of the choice of bariatric surgery in a patient with heartburn and gastroesophageal reflux disease. Moscow Surgical Journal. 2022;(3):106-115. (In Russ.) https://doi.org/10.17238/2072-3180-2022-3-106-115
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