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Gastroesophageal Reflux Disease As an Indication of Revisional Bariatric Surgery—Indication and Results—A Systematic Review and Metanalysis Publisher Pubmed



Chiappetta S1 ; Lainas P2, 3 ; Kassir R4, 5 ; Valizadeh R6 ; Bosco A1 ; Kermansaravi M7
Authors
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Authors Affiliations
  1. 1. Bariatric and Metabolic Surgery Unit, Department of General Surgery, Ospedale Evangelico Betania, Via Argine 604, Naples, 80147, Italy
  2. 2. Department of Digestive Surgery, Metropolitan Hospital, HEAL Academy, Athens, Greece
  3. 3. Department of Minimally Invasive Digestive Surgery, Antoine-Beclere Hospital, Paris-Saclay University, Clamart, France
  4. 4. Digestive Surgery Unit, University Hospital of La Reunion -Felix Guyon Hospital, Saint-Denis, La Reunion, France
  5. 5. Diabete Atherothrombose Therapies Reunion Ocean Indien (DeTROI), UMR 1188, INSERM, Universite de La Reunion, Saint Denis, 97400, France
  6. 6. Department of Epidemiology, School of Public Health, University of Medical Sciences, Tehran, Iran
  7. 7. Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Department of SurgeryRasool-E Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Source: Obesity Surgery Published:2022


Abstract

This systematic review evaluates the indications and results of revisional bariatric surgery (RBS) in gastroesophageal reflux disease (GERD). A systematic literature search and meta-analysis was performed for articles published by April 1, 2021. After examining 722 papers involving 17,437 patients, 48 studies were included (n = 915 patients). RBS for GERD was mostly reported after sleeve gastrectomy (n = 796, 87%) and one anastomosis gastric bypass (n = 62, 6.8%) and was performed due to intractable GERD (71.6%), GERD and weight issues (16%), and biliary reflux (6.2%). Mean follow-up of the studies was 31.5 (3–84) months. Pooled estimation of a meta-analysis of studies reported 7% of GERD following primary surgery needing RBS, in which 99% of the patients experienced remission. Graphical abstract: [Figure not available: see fulltext.] © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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