Surgical management of gastroesophageal reflux disease in the obese patient

P Nau; H Jackson; A Aryaie; A Ibele; D Shouhed; Menzo Lo; M Kurian; L Khaitan; Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Foregut Task Force White Paper

doi:10.1007/s00464-019-07231-w

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Surgical management of gastroesophageal reflux disease in the obese patient

Journal article

Peer reviewed

Surgical management of gastroesophageal reflux disease in the obese patient

P Nau, H Jackson, A Aryaie, A Ibele, D Shouhed, Menzo Lo, M Kurian, L Khaitan and Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Foregut Task Force White Paper

Surgical endoscopy, Vol.34(1), pp.450-457

01/01/2020

DOI: 10.1007/s00464-019-07231-w

PMID: 31720811

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Abstract

Background Gastroesophageal reflux disease (GERD) affects two thirds of the American population. Obesity is also a disease that affects two thirds of the population. The pathophysiology of reflux disease is reasonably understood, however, the degree to which obesity affects this disease remains poorly defined. Therefore the approach to GERD in the obese patient requires special attention and its own algorithm. Methods A literature search was conducted to consolidate the current available literature on GERD and its management in the obese. In addition, the authors reviewed the literature and present expert opinion on controversial topics. Results It is well established that GERD is increased in obesity and the pathophysiology is reviewed. Management options for GERD are discussed, with a focus on the obese population. Management strategies including fundoplication and gastric bypass are discussed. In addition, bariatric surgery in the setting of GERD is also reviewed. Conclusions Currently this is an extremely controversial topic and this white paper presents a strong review of the literature to help guide the management of this challenging disease in this population. Expert recommendations are given throughout the paper based upon the current available data.

Gastrointestinal Surgery

Obesity

Gastroesophageal reflux

Population

Details

Title: Subtitle: Surgical management of gastroesophageal reflux disease in the obese patient
Creators: P Nau - Roy J. and Lucille A. Carver College of Medicine
H Jackson - George Washington University
A Aryaie - Texas Tech University
A Ibele - University of Utah
D Shouhed - Cedars-Sinai Medical Center
Menzo Lo
M Kurian - New York University
L Khaitan - University Hospitals of Cleveland
Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Foregut Task Force White Paper (Institution)
Resource Type: Journal article
Publication Details: Surgical endoscopy, Vol.34(1), pp.450-457
Publisher: Springer Nature B.V
DOI: 10.1007/s00464-019-07231-w
PMID: 31720811
ISSN: 0930-2794
eISSN: 1432-2218
Language: English
Date published: 01/01/2020
Academic Unit: Surgery
Record Identifier: 9984322829202771

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