Gastroesophageal Reflux Disease in Obesity: Bariatric Surgery As Both the Cause and the Cure in the Morbidly Obese Population

Overview

Journal J Clin Med

Specialty General Medicine

Date 2023 Sep 9

PMID 37685616

Authors

Muaaz Masood

Donald Low

Shanley B Deal

Richard A Kozarek

Affiliations

Soon will be listed here.

Abstract

Gastrointestinal reflux disease (GERD) is a chronic, highly prevalent condition in the United States. GERD can significantly impact quality of life and lead to complications including aspiration pneumonia, esophageal stricture, Barrett's esophagus (BE) and esophageal cancer. Obesity is a risk factor for GERD, which often improves with weight loss and bariatric surgery. Though the incidence of bariatric surgery, in particular, minimally invasive sleeve gastrectomy, has risen in recent years, emerging data has revealed that the severity or new onset of GERD may follow bariatric surgery. We performed a literature review to provide a detailed analysis of GERD with an emphasis on bariatric surgery as both the cure and the cause for GERD in the morbidly obese population. We also describe the pathophysiological mechanisms, management approach and treatment strategies of GERD following bariatric surgery.

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