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Gastroesophageal Reflux Disease After Laparoscopic Roux-en-Y Gastric Bypass

Effect on Gastroesophageal Reflux (GERD) Symptoms After Roux-en-Y Stomach Bypass

Bariatric Surgery - Bariatric Research Studies

Symptomatic improvement in gastroesophageal reflux disease (GERD) following laparoscopic Roux-en-Y gastric bypass

The purpose of this study was to determine the effect of laparoscopic Roux-en-Y gastric bypass (LRYGBP) on symptomatic control of gastroesophageal reflux disease (GERD).

Method

Morbidly obese patients (n = 435) who underwent laparoscopic Roux-en-Y gastric bypass for morbid obesity were assessed for changes in gastroesophageal reflux disease symptoms, quality of life, and patient satisfaction after surgery.

Results

A total of 238 patients (55%) had evidence of chronic gastroesophageal reflux disease, and 152 patients (64%) voluntarily participated in the study. The mean body mass index (BMI) was 48 kg/m2. The mean excess weight loss was 68.8% at 12 months. There was a significant decrease in GERD-related symptoms, including heartburn (from 87% to 22%); water brash (from 18% to 7%); wheezing (from 40% to 5%) laryngitis (from 17% to 7%); and aspiration (from 14% to 2%) following laparoscopic Roux-en-Y gastric bypass. Postoperatively, the use of medication decreased significantly both for proton pump inhibitors (from 44% to 9%) and for the H2 blockers (from 60% to 10%). SF-36 physical function scores and the mental component summary scores improved after the operation. Overall patient satisfaction was 97%.

Conclusion

Laparoscopic Roux-en-Y gastric bypass results in very good control of gastroesophageal reflux disease in morbidly obese patients with follow-up as late as 3 years. Morbidly obese patients who require surgery for gastroesophageal reflux disease may be better served by laparoscopic Roux-en-Y gastric bypass than fundoplication because of the additional benefit of significant weight loss.

Source:
Frezza EE, Ikramuddin S, Gourash W, Rakitt T, Kingston A, Luketich J, Schauer P. Department of Surgery, Presbyterian University Hospital, University of Pittsburgh, 200 Lothrop Street, Pittsburgh, PA 15213-2582, USA. 2002

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources