Research progress of bariatric and metabolic surgery in the prevention of gastroesophageal reflux disease
10.3760/cma.j.cn441530-20230216-00039
- VernacularTitle:减重代谢手术预防胃食管反流病的研究进展
- Author:
Ying JIN
1
;
Ke CAO
;
Zhenjun WANG
;
Jiagang HAN
Author Information
1. 首都医科大学附属北京朝阳医院，北京 100020
- Keywords:
Gastroesophageal reflux disease;
Obesity;
Antireflux procedure;
Cardiac notch accentuation
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(11):1088-1093
- CountryChina
- Language:Chinese
-
Abstract:
Gastroesophageal reflux disease (GERD) is a common digestive tract disease. Obesity is an independent risk factor for GERD. Laparoscopic sleeve gastrectomy (laparoscopic sleeve gastrectomy, LSG) is becoming more popular in bariatric metabolic surgery and is simple to perform with fewer complications, but its efficacy in treating postoperative anti-reflux in obese patients remains controversial. LSG has been reported to disrupt anti-reflux barrier function, such as altered cardiac notch, disruption of diaphragmatic continuity, and increased hiatal hernia after surgery. The cardiac notch is one of the important anti-reflux barriers at the gastroesophageal junction, and its accentuation has been shown to be effective in alleviating the symptoms of GERD, and LSG combined with angle of cardiac notch accentuation is expected to be an effective measure to prevent GERD after obesity surgery. Therefore, this article mainly reviews the research on the prevention of GERD by bariatric surgery, aiming to explore the effective treatment of GERD in obese patients after surgery, so as to improve the symptoms and quality of life of patients with GERD, and provide reference for the surgical treatment of GERD.
