Treatments for gastroesophageal reflux disease in patients with obesity

Author: Yi-kai SHAO ¹ ; Qi-yuan YAO ¹
Author Information

1. Department of General Surgery,Huashan Hospital,Fudan University Shanghai 200040,China
Publication Type:Journal Article
Keywords: bariatric and metabolic surgery; gastroesophageal reflux disease; obese
From: Chinese Journal of Practical Surgery 2019;39(04):328-331
CountryChina
Language:Chinese
Abstract: Gastroesophageal reflux disease(GERD) is pronouncedly increased among obese population due to the incompetence of anti-reflux barrier resulting from adiposity.While lifestyle changes, medications and anti-reflux surgery have limited effects, bariatric surgery is the best treatment for GERD in patients with obesity. Roux-en-Y gastric bypass is an ideal procedure and sleeve gastrectomy can also be accepted as an option despite its controversy over GERD.Besides, some combination surgeries have emerged to be worth attempts. In case of the postoperative reflux, causes for that should be found and treated. Revisional surgery can be performed when it is necessary.