Gastroesophageal Reflux Disease and the Patient with Obesity

Yewande Alimi; Dan E Azagury

doi:10.1016/j.gtc.2021.08.010

Gastroesophageal Reflux Disease and the Patient with Obesity

Gastroenterol Clin North Am. 2021 Dec;50(4):859-870. doi: 10.1016/j.gtc.2021.08.010. Epub 2021 Oct 6.

Authors

Yewande Alimi¹, Dan E Azagury²

Affiliations

¹ Department of Surgery, Stanford University School of Medicine, 3800 Reservoir Rd NW, Washington, DC 20007, USA. Electronic address: https://twitter.com/yewandealimiMD.
² Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3680H, Stanford, CA 94305-5655, USA. Electronic address: dazagury@stanford.edu.

PMID: 34717875
DOI: 10.1016/j.gtc.2021.08.010

Abstract

Patients with obesity who present with gastroesophageal reflux disease (GERD) require a nuanced approach. Those with lower body mass index (BMI) (less than 33) can be counseled on weight loss, and if successful may be approached with laparoscopic fundoplication. Those who are unable to achieve weight loss or those who present with a BMI greater than or equal to 35 should proceed with laparoscopic Roux-en-Y gastric bypass (LRYGB). Conversion to LRYGB from sleeve gastrectomy is a safe and effective way to manage GERD after sleeve gastrectomy.

Keywords: Fundoplication; GERD; Obesity; Roux-en-Y gastric bypass; Sleeve gastrectomy.

Publication types

Review

MeSH terms

Gastrectomy
Gastric Bypass*
Gastroesophageal Reflux* / complications
Gastroesophageal Reflux* / surgery
Humans
Laparoscopy*
Obesity / complications
Obesity / surgery
Obesity, Morbid* / complications
Obesity, Morbid* / surgery
Postoperative Complications
Retrospective Studies
Treatment Outcome