Gastroesophageal Reflux Disease and Sleeve Gastrectomy
Author
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Melissas, John
Author
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Braghetto Miranda, Italo
Author
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Molina Franjola, Juan
Author
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Silecchia, Gianfranco
Author
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Iossa, Angelo
Author
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Iannelli, Antonio
Author
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Foletto, Mirto
Admission date
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2015-12-29T15:54:20Z
Available date
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2015-12-29T15:54:20Z
Publication date
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2015
Cita de ítem
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Obesity Surgery Volumen: 25 Número: 12 Páginas: 2430-2435
en_US
Identifier
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DOI: 10.1007/s11695-015-1906-1
Identifier
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https://repositorio.uchile.cl/handle/2250/136035
General note
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Artículo de publicación ISI
en_US
Abstract
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Gastroesophageal reflux disease (GERD) and/or hiatus hernia (HH) are one of the most common disorders of the upper gastrointestinal tract. Despite the positive effect of sleeve gastrectomy (SG) regarding weight loss and improvement in obesity co-morbidities, there are concerns about the development of de novo gastroesophageal reflux disease or worsening the existing GERD after this bariatric operation. Furthermore, controversy exists on the consequences of SG in lower esophageal sphincter function and about the ideal procedure when a hiatus hernia is preoperatively diagnosed or discovered during the laparoscopic SG. This review systematically investigates the incidence, the pathophysiology of GERD and/or HH in morbidly obese individuals before and after SG, and the treatment options for concomitant HH repair during laparoscopic sleeve gastrectomy.