Erschienen in:
25.03.2024 | Letter to the Editor
Kill Three Birds with One Stone: Sleeve Reduction, Cruroplasty, Gastropexy, and Concomitant Sleeve Ileal Bypass for Patients with Gastroesophageal Reflux, Constipation, and Weight Regain After Laparoscopic Sleeve Gastrectomy
verfasst von:
Jiangfan Zhu
Erschienen in:
Obesity Surgery
|
Ausgabe 5/2024
Einloggen, um Zugang zu erhalten
Excerpt
Laparoscopic sleeve gastrectomy (LSG) is now the most popularly performed bariatric surgery worldwide, which is considered as a safe, effective, and relatively simple procedure with comparable mid to long term results with Roux-en-Y gastric bypass in weight loss, improvement and resolution of comorbidities, and quality of life [
1,
2]. However, there has been rising concern for gastroesophageal reflux disease (GERD) after LSG. The incidence of new-onset GERD symptoms following the procedure is around 25% [
3,
4]. The exact mechanism for GERD after LSG is not fully understood, which could be a “low-volume-high pressure system” caused by the procedure, possible impairment of the functions of the lower esophageal sphincter and antrum motility related to the level of resection or mechanical problems such as sleeve stenosis, twist, or retained or dilated fundus [
5]. Intrathoracic sleeve migration (ITSM) is one of the least acknowledged complications, representing an important pathogenic factor in the development of GERD. The incidence of postoperative ITSM ≥ 2 cm is 7% of 1337 LSG surgery [
6]. Furthermore, post-LSG GERD and constipation are commonly associated with ITSM [
7]. …
