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Journal of Obesity
Volume 2013 (2013), Article ID 741097, 6 pages
http://dx.doi.org/10.1155/2013/741097
Review Article

Sleeve Gastrectomy and Gastroesophageal Reflux Disease

1Department of Surgery, University of Alberta, Edmonton, AB, Canada
2Center for the Advancement of Minimally Invasive Surgery (CAMIS), Edmonton, AB, Canada

Received 13 March 2013; Revised 18 June 2013; Accepted 18 June 2013

Academic Editor: Christine Stroh

Copyright © 2013 Michael Laffin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bariatric surgery, when combined with lifestyle and medical interventions, is a common and successful treatment modality in the obese patient. Laparoscopic sleeve gastrectomy is one such procedure that has increased in popularity as a definitive bariatric operation. Although laparoscopic sleeve gastrectomy has been shown to be effective in producing weight loss and improving type 2 diabetes mellitus, its effect on gastroesophageal reflux disease (GERD) has been inconsistent. This paper aims to summarize the available literature regarding GERD prevalence following laparoscopic sleeve gastrectomy, 8 studies demonstrate increased GERD prevalence, and 5 demonstrate decreased GERD prevalence following laparoscopic sleeve gastrectomy. The relationship between GERD and SG is complex and no clear relationship exists. The anatomic and physiologic changes caused by laparoscopic sleeve gastrectomy are discussed in the context of these inconsistent results.