A variant of surgical treatment of patients with obesity and GERD
https://doi.org/10.17238/2072-3180-2023-29-35
Abstract
Introduction. Gastroesophageal reflux disease is a common complication in bariatric patients. Dissatisfaction with the quality of life and ineffectiveness of conservative therapy are the main reasons for repeated surgical intervention.
The purpose of the study. To develop antireflux bariatric surgery for the treatment of patients with obesity and concomitant GERD, to evaluate its effectiveness and safety.
Materials and methods. A prospective controlled study included 34 patients who underwent laparoscopic mini-bypass surgery with Nissen fundoplication with postoperative follow-up periods of up to three years. This study presents the technical aspects of the operation and analyzes the effectiveness and safety of the developed operation.
Results. According to the GERD–HRQL questionnaire, mini-bypass surgery with Nissen fundoplication showed high control over GERD phenomena at all stages of postoperative follow-up. According to the GIQLI questionnaire, the average score after surgical treatment increased by 54% in three years compared to the initial data. When evaluating the effectiveness of bariatric treatment according to the criteria of the BAROS system, it was found that "excellent and very good results" were mainly obtained during the entire period of postoperative follow-up.
Conclusion. The developed mini-bypass surgery with Nissen fundoplication is a safe, effective method of surgical treatment, and can be offered to patients with obesity and concomitant gastroesophageal reflux disease.
About the Authors
V. V. Anisсhenko
Novosibirsk State Medical University; MC AVICENNA
Russian Federation
Russian Federation
Anisсhenko Vladimir Vladimirovich – Doctor of Medical Sciences, Professor, Head of the Department of Postgraduate of Surgeons, Scientific Consultant in Surgery
Kommunisticheskaya st., 17/1, 630099, Novosibirsk
D. A. Kim
Novosibirsk State Medical University; MC AVICENNA
Russian Federation
Russian Federation
Kim Denis Alexandrovich – Ph.D., assistant of Professor of the Department of Postgraduate of Surgeons, surgeon
Kommunisticheskaya st., 17/1, 630099, Novosibirsk
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Review
For citations:
Anisсhenko V.V., Kim D.A. A variant of surgical treatment of patients with obesity and GERD. Moscow Surgical Journal. 2023:29-35. (In Russ.) https://doi.org/10.17238/2072-3180-2023-29-35
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