Review Article
Sleeve Gastrectomy and Gastroesophageal Reflux Disease
Table 3
Proposed mechanisms for an increase in prevalence of GERD symptoms afterSG.
| Proposed mechanisms for increased GERD after SG | Reference |
| Hypotension of the lower esophageal sphincter | Braghetto et al. [48] | Blunting of the angle of His | Himpens et al. [49] | Decreased gastric compliance and volume (leading to increased gastric pressure) | yehoshua et al. [50] | Decreased gastric emptying | Himpens et al. [49], Melissas et al. [32] | Decreased plasma ghrelin (dysmotility) | Nahata et al. [51] | Gastric sleeve shape | Lazoura et al. [52] | Increase in hiatal hernia | Baumann et al. [53] | Neofundus | Himpens et al. [40] |
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