Longitudinal gastric resection in obesity and gastroesophageal reflux disease: assessment of postoperative reflux
https://doi.org/10.17238/2072-3180-2023-36-42
Abstract
Introduction. Nowadays a sleeve gastrectomy (LSG) remains the most common bariatric procedure. An extremely important issue is the impact of this surgical intervention on the course of concomitant gastroesophageal reflux disease (GERD), especially in combination with the presence of hiatal hernia (HH).
Purpose of the study. To evaluate the effect of LSG in obese patients on the course of GERD.
Materials and methods of research. A retrospective analysis of the treatment outcomes of 54 patients who underwent PRV since May 2022. to June 2023 about obesity III Art. according to WHO (BMI> 35 kg/m2).
Results. LSG can be performed in patients with HH types 1 and 2, as well as with clinically insignificant forms of HH, and without worsening the course of GERD.
Conclusion. According to the results of the study, the standardized implementation of LSG provides a minimum percentage of reflux in the postoperative period, without the need for medical correction and repeated surgical interventions.
About the Authors
D. S. Alaev
Multifunctional Medical Center MEDSI on Michurinsky prospect
Russian Federation
Russian Federation
Alaev Dmitry Sergeevich – Candidate of Medical Sciences, Head of the Center for Bariatric and Endocrine Surgery
119192, Michurinsky prospect, 56, building 1, Moscow
T. A. Britvin
Multifunctional Medical Center MEDSI on Michurinsky prospect
Russian Federation
Russian Federation
Britvin Timur Albertovich – Doctor of Medical Sciences, professor
119192, Michurinsky prospect, 56, building 1, Moscow
S. A. Erin
MEDSI Clinical Hospital in Otradnoye
Russian Federation
Russian Federation
Erin Sergey Alexandrovich – Candidate of Medical Sciences, Head of the Department of Thoracic and Abdominal Oncology
MO, r.o. Krasnogorsk, pos. Otradnoe, ow. 2, p. 1
G. Yu. Gololobov
Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Gololobov Grigorii Yurievich – PhD student at the Department of General Surgery of Federal State Autonomous Educational Institution of Higher Education
119146, 19/1 Bolshaya Pirogovskaya street, Moscow
U. R. Ovchinnikova
Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Ovchinnikova Ulyana Romanovna – student
119146, 19/1 Bolshaya Pirogovskaya street, Moscow
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Review
For citations:
Alaev D.S., Britvin T.A., Erin S.A., Gololobov G.Yu., Ovchinnikova U.R. Longitudinal gastric resection in obesity and gastroesophageal reflux disease: assessment of postoperative reflux. Moscow Surgical Journal. 2023:36-42. (In Russ.) https://doi.org/10.17238/2072-3180-2023-36-42
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