#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#
preLekára.sk / Journals / Perspectives in Surgery / 2019 - 5

An alternative method of surgical treatment in refractory GERD following laparoscopic sleeve gastrectomy

Česká verzia

Authors: P. Ostruszka;  P. Ihnát;  L. Tulinský ;  P. Vávra
Authors place of work: Chirurgická klinika Fakultní nemocnice Ostrava
Published in the journal: Rozhl. Chir., 2019, roč. 98, č. 5, s. 214-218.
Category: Case Report

Summary

Obesity has become a global problem with increasing prevalence. Undoubtedly, bariatric surgery is the most effective way to treat morbid obesity. Laparoscopic sleeve gastrectomy (LSG) is currently the most commonly performed bariatric procedure worldwide. The prevalence of gastroesopha­geal reflux disease (GERD) is also increasing, a close association with increasing prevalence of obesity being regarded as the main cause of this trend. The relationship between LSG and GERD is still unclear, at least controversial. If GERD occurs in the postoperative period, the first therapeutic intervention is initiation of proton pump inhibitors (PPI) treatment, which is effective in the vast majority of patients. In patients resistant to this treatment, conversion to laparoscopic Roux en Y gastric bypass (LRYGB) is usually necessary. The authors present the case report of a patient who developed GERD in the longer postoperative period and conversion to LRYGB was not appropriate due to previous complications and surgical procedures. Therefore, this patient was managed operatively by an alternative method – hiatoplasty with partial posterior fundoplication. The success of the treatment was confirmed clinically by disappearance of GERD symptomatology postoperatively even after PPI discontinuation. LRYGB is the method of choice for GERD after restrictive bariatric procedures. However, some patients are not suitable for conversion to LRYGB, and alternative treatment options are therefore needed.

Keywords:

sleeve gastrectomy – reflux – hiatal hernia repair

Zdroje
  1. Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357:741−52. doi: 10.1056/NEJMoa066254.
  2. Ponce J, DeMaria EJ, Nguyen NT, et al. American Society for Metabolic and Bariatric Surgery estimation of bariatric surgery procedures in 2015 and surgeon workforce in the United States. Surg Obes Relat Dis. 2016;12:1637. doi: 10.1016/j.soard.2016.08.488.
  3. El-Serag HB, Sweet S, Winchester CC, et al. Update on the epidemiology of gastro-
  4. oesophageal reflux disease: a systematic review. Gut 2014;63:871−80. doi:10.1136/gutjnl-2012-304269.
  5. Chang P, Friedenberg F. Obesity & GERD. Gastroenterol Clin North Am. 2014;43:161–73. doi:10.1016/j.gtc.2013.11.009
  6. DuPree CE, Blair K, Steele SR, et al. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease: a national analysis. JAMA Surg. 2014;149:328−34. doi: 10.1001/jamasurg.2013.4323.
  7. Soricelli E, Iossa A, Casella G, et al. Sleeve gastrectomy and crural repair in obese patients with gastroesophageal reflux disease and/or hiatal hernia. Surg Obes Relat Dis. 2013;9:356−61. doi: 10.1016/j.soard.2012.06.003
  8. Chiu S, Birch DW, Shi X, et al. Effect of sleeve gastrectomy on gastroesophageal reflux disease: a systematic review. Surg Obes Relat Dis. 2011;7:510−5. doi: 10.1016/j.soard.2010.09.011.
  9. Pallati PK, Shaligram A, Shostrom VK, et al. Improvement in gastroesophageal reflux disease symptoms after various bariatric procedures: review of the bariatric outcomes longitudinal database. Surg Obes Relat Dis. 2014;10:502−7. doi: 10.1016/j.soard.2013.07.018.
  10. Himpens J, Dapri G, Cadière GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006;16:1450–6. doi: 10.1381/096089206778869933.
  11. Braghetto E, Lanzarini O, Korn H, et al. Manometric changes of the lower esophageal sphincter after sleeve gastrectomy in obese patients. Obes Surg. 2010;20:357–62. doi: 10.1007/s11695-009-0040-3
  12. Gagner M, Hutchinson C, Rosenthal R. Fifth international consensus conference: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2016;12:750−6. doi: 10.1016/j.soard.2016.01.022.
  13. Kahrilas PJ, Lin S, Chen J, et al. The effect of hiatus hernia on gastro-oesophageal junction pressure. Gut 1999;44:476–82.
  14. Santonicola A, Angrisani L, Cutolo P, et al. The effect of laparoscopic sleeve gastrectomy with or without hiatal hernia repair on gastroesophageal reflux disease in obese patients. Surg Obes Relat Dis. 2014;10:250−5. doi: 10.1016/j.soard.2013.09.006.
  15. Mahawar KK, Carr WR, Jennings N, et al. Simultaneous sleeve gastrectomy and hiatus hernia repair: a systematic review. Obes Surg. 2015;25:159−66. doi: 10.1007/s11695-014-1470-0.
  16. Himpens J, Dobbeleir J, Peeters G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010;252:319−24. doi: 10.1097/SLA.0b013e3181e90b31.
  17. Toro JP, Lin E, Patel AD, et al. Association of radiographic morphology with early gastroesophageal reflux disease and satiety control after sleeve gastrectomy. J Am Coll Surg. 2014;219:430−8. doi: 10.1016/j.jamcollsurg.2014.02.036.
  18. Yehoshua RT, Eidelman LA, Stein M, et al. Laparoscopic Sleeve gastrectomy - volume and pressure assessment. Obes Surg. 2008;18:1083–8. doi: 10.1007/s11695-008-9576-x.
  19. Jacobson BC, Somers SC, Camargo CA. Association between body mass index and gastroesophageal reflux symptoms in both normal weight and overweight women. N Engl J Med. 2006;354:2340–8. doi: 10.1056/NEJMoa054391.
  20. Yao X, Forte JG. Cell biology of acid secretion by the parietal cell. Annual Review of Physiology 2003;65:103–31. doi: 10.1146/annurev.physiol.65.072302.114200
  21. Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg. 2008;247:401–7. doi: 10.1097/SLA.0b013e318156f012.
  22. Pilone V, Tramontano S, Di Micco R, et al. Gastric emptying after sleeve gastrectomy: statistical evidence of a controlled prospective study with gastric scintigraphy. Minerva Chir. 2013;68:385−92.
  23. Thereaux J, Lesuffleur T, Czernichow S, et al. Do sleeve gastrectomy and gastric bypass influence treatment with proton pump inhibitors 4 years after surgery? A nationwide cohort. Surg Obes Relat Dis. 2017;13:951−9.
  24. Khan A, Kim A, Sanossian C, et al. Impact of obesity treatment on gastroesophageal reflux disease. World J Gastroenterol. 2016;22:1627−38. doi: 10.3748/wjg.v22.i4.1627.
  25. Stenard F, Iannelli A. Laparoscopic sleeve gastrectomy and gastroesophageal reflux. World J Gastroenterol. 2015;21:10348−57. doi: 10.3748/wjg.v21.i36.10348.
  26. Lasnibat JP, Braghetto I, Gutierrez L, et al. Sleeve gastrectomy and fundoplication as single procedure in patients with obesity and gastroesophageal reflux. Arq Bras Cir Dig. 2017;30:216−21. doi:10.1590/0102-6720201700030012.
  27. Melissas J, Braghetto I, Molina JC, et al. Gastroesophageal reflux disease and sleeve gastrectomy. Obes Surg. 2015;25:2430–5. doi: 10.1007/s11695-015-1906-1.
  28. Gautier T, Sarcher T, Contival N, et al. Indications and mid-term results of conversion from sleeve gastrectomy to Roux-en-Y gastric bypass. Obes Surg. 2013;23:212–5. doi: 10.1007/s11695-012-0782-1.
  29. Nedelcu M, Noel P, Iannelli A, et al. Revised sleeve gastrectomy (re-sleeve). Surg Obes Relat Dis. 2015;11:1282−8. doi: 10.1007/s00464-013-3277-9.
  30. Stenard F, Iannelli A. Laparoscopic sleeve gastrectomy and gastroesophageal reflux. World J Gastroenterol. 2015;21:10348−57. doi: 10.3748/wjg.v21.i36.10348.
  31. Daes J, Jimenez ME, Said N, et al. Laparoscopic sleeve gastrectomy: symptoms of gastroesophageal reflux can be reduced by changes in surgical technique. Obes Surg. 2012; 22:1874−9. doi: 10.1007/s11695-012-0746-5.
  32. Noel P, Nedelcu M, Nocca D, et al. Revised sleeve gastrectomy: another option for weight loss failure after sleeve gastrectomy. Surg Endosc. 2014;28:1096–102. doi: 10.1007/s00464-013-3277-9.
  33. Hawasli A, Tarakji M, Tarboush M. Laparoscopic management of severe reflux after sleeve gastrectomy using the LINX® system: Technique and one year follow up case report. Int J Surg Case Rep. 2017;30:148–51. doi: 10.1016/j.ijscr.2016.11.050.
  34. Desart K, Rossidis G, Michel M, et al. Gastroesophageal reflux management with the LINX® System for gastroesophageal reflux disease following laparoscopic sleeve gastrectomy. J Gastrointest Surg. 2015;19:1782−6. doi: 10.1007/s11605-015-2887-z.
  35. Mattar SG, Qureshi F, Taylor D, et al. Treatment of refractory gastroesophageal reflux disease with radiofrequency energy (Stretta) in patients after Roux-en-Y gastric bypass. Surg Endosc. 2006;20:850−4. doi: 10.1007/s00464-006-0513-6
  36. Santoro S, Lacombe A, Aquino CGG, et al. Sleeve gastrectomy with anti-reflux procedures. Einstein (São Paulo). 2014;12:287−94.
Štítky
Surgery Orthopaedics Trauma surgery
Článek Klinické doporučené postupy – zbytečné obavy
Článek Profesor Rudolf Tomáš Jedlička – 150. výročí narození
Článek Rare causes of acute appendicitis
Článek Early surgical management in patients with burns
Článek Lymph nodes detection and the mesorectal excision quality evaluation
Článek Acute hiatal hernias
Článek Liver abscess as a rare complication of PEG
Článek Unexpected finding of an ablation catheter during thoracoscopic exploration for a spontaneous hemothorax – case report
Článok vyšiel v časopise

Perspectives in Surgery

Číslo 5
2019 Číslo 5
Najčítanejšie tento týždeň
Najčítanejšie v tomto čísle
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#