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Revista Colombiana de Cirugía
versión impresa ISSN 2011-7582
Resumen
MORALES, Cristiam Alexander et al. Relationship between sleeve gastrectomy and gastroesophageal reflux. rev. colomb. cir. [online]. 2016, vol.31, n.2, pp.128-135. ISSN 2011-7582.
Gastroesophageal reflux disease (GERD) is a very common disease in the general population with significant consequences like peptic esophagitis, Barrett's esophagus (BE), and esophageal carcinoma. On the other hand, obesity is a condition that has increased in the world in the last three decades and is one of the major risk factors for GERD and BE. In recent years, bariatric surgery has become the best treatment option for morbid obesity and some of these techniques are recognized as being essentially anti-reflux procedures like laparoscopic Roux-en-Y gastric bypass (LRYGB). However, the relationship between laparoscopic sleeve gastrectomy (LSG) and GERD remains controversial. The purpose of this review is to present the available evidence about the pathophysiological mechanisms associated with the presentation of GERD after LSG and the influence of surgical technique in preventing this complication.
Palabras clave : Gastric bypass; gastroesophageal reflux; gastric emptying; hernia; hiatal.