Vertical gastrectomy and gastric bypass in Roux-en-Y induce postoperative gastroesophageal reflux disease?

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Paulo Afonso Nunes Nassif¹  Osvaldo Malafaia¹  Jurandir Marcondes Ribas-filho¹  Nicolau Gregori Czeczko¹  Rodrigo Ferreira Garcia¹  Bruno Luiz Ariede¹ 

关键词: Gastric bypass;    Anastomosis;    Roux-en-Y;    Gastroesophageal reflux;    Gastroenterostomy;    Gastrectomy;    Obesity;    Bariatric Surgery;    Derivação gástrica;    Anastomose em-Y de Roux;    Refluxo gastroesofágico;    Gastroenterostomia;    Gastrectomia;    Obesidade;    Cirurgia bariátrica;   

DOI  :  10.1590/S0102-6720201400S100016

来源: SciELO

【 摘 要 】

BACKGROUND: The association between obesity and gastroesophageal reflux disease has a high incidence and may be present in half of obese patients with surgical indication. Bariatric operations can also induce reflux alone - differently from BMI factors - and its mechanisms are dependent on the type of procedure performed. OBJECTIVE: To perform a literature review comparing the two procedures currently most used for surgical treatment of obesity and analyze their relationship with the advent of pre-existing reflux disease or its appearance only in postoperative period. METHOD: The literature was reviewed in virtual database Medline/PubMed, SciELO, Lilacs, Embase and Cochrane crossing the following MeSH descriptors: gastric bypass AND / OR anastomosis, Roux-en-Y AND / OR gastroesophageal reflux AND / OR gastroenterostomy AND / OR gastrectomy AND / OR obesity AND / OR bariatric surgery AND / OR postoperative period. A total of 135 relevant references were considered but only 30 were used in this article. Also was added the experience of the authors of this article in handling these techniques on this field. CONCLUSION: The structural changes caused by surgical technique in vertical gastrectomy shows greater commitment of antireflux mechanisms predisposing the induction of GERD postoperatively compared to the surgical technique performed in the gastrointestinal Bypass Roux-en-Y.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License