ArticleObesity surgery2013
Impact of laparoscopic sleeve gastrectomy on upper gastrointestinal symptoms.
Article in Obesity surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Diagnosis and treatment of chronic abdominal pain after bariatric surgery: a systematic review.Surgical endoscopy · 2026Pooled it
- Impact of extent of antral resection on surgical outcomes of sleeve gastrectomy for morbid obesity (a prospective randomized study).Obesity surgery · 2014Trial
- Dumping Syndrome Following Endoscopic Sleeve Gastroplasty.ACG case reports journal · 2026Article
- Short term detection of de novo gastroesophageal reflux disease after laparoscopic sleeve gastrectomy.BMC gastroenterology · 2026Article
- Analysis of the Efficacy of Different Obesity Surgeries in Patients with Metabolic Syndrome.Obesity surgery · 2025Article
- Post-bariatric pregnancy is associated with vitamin K1 deficiency, a case control study.BMC pregnancy and childbirth · 2024Article
- The new onset of GERD after sleeve gastrectomy: A systematic review.Annals of medicine and surgery (2012) · 2022Review
- Evolution of gastroesophageal reflux disease symptoms after bariatric surgery: A dose-response meta-analysis.Surgery open science · 2022Review
- Preoperative measurement of the hiatal surface with MDCT: impact on surgical planning.La Radiologia medica · 2021Article
- The Role of High-Resolution Manometry in Management of Patients with Sleeve Gastrectomy.Obesity surgery · 2021Article
- Can Omentopexy Reduce the Incidence of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2021Article
- Anhedonia and functional dyspepsia in obese patients: Relationship with binge eating behaviour.World journal of gastroenterology · 2020Observational
- Hiatal hernia diagnosis prospectively assessed in obese patients before bariatric surgery: accuracy of high-resolution manometry taking intraoperative diagnosis as reference standard.Surgical endoscopy · 2020Article
- Article
- Characterization of Self-Reported Dysphagia and Impact on Weight Outcomes After Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2018Article
- Moderating the Enthusiasm of Sleeve Gastrectomy: Up to Fifty Percent of Reflux Symptoms After Ten Years in a Consecutive Series of One Hundred Laparoscopic Sleeve Gastrectomies.Obesity surgery · 2017Article
- Gastroesophageal reflux disease and morbid obesity: To sleeve or not to sleeve?World journal of gastroenterology · 2017Article
- Sleeve gastrectomy and anti-reflux procedures.Surgical endoscopy · 2017Review
- A Case Study of Severe Esophageal Dysmotility following Laparoscopic Sleeve Gastrectomy.Case reports in surgery · 2016Article
- Gastroesophageal Reflux Disease and Sleeve Gastrectomy.Obesity surgery · 2015Review
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAltered gastric anatomy following laparoscopic sleeve gastrectomy (LSG) is likely to induce upper gastrointestinal (GI) symptoms. Published studies, however, have focused mainly on gastroesophageal reflux disease (GERD). This study aims to evaluate LSG's impact on the prevalence of upper GI symptoms and to assess the effects of time from surgery, weight loss, and proton pump inhibitor (PPI) therapy.
methodsThe validated Rome III Criteria symptom questionnaire for upper GI symptoms, including quality of life items, has been self-administered to 97 patients who underwent LSG. Symptoms were analyzed either separately or altogether to classify patients in GERD or dyspepsia, subdivided in epigastric pain (EPS) and post-prandial distress (PDS) syndromes.
resultsBefore LSG, 52.7% of the patients were asymptomatic, 27.0% had GERD, and 8.1% had dyspepsia (2.7% EPS, 5.4% PDS). After a median follow-up of 13 months, 91.9% of the patients complained of upper GI symptoms, the most prevalent being PDS (59.4 %). GERD prevalence did not differ before and after LSG. The only symptom strongly related to LSG was dysphagia (OR 4.7, 95% CI 1.3-20.4, p = 0.015), which was present in 19.7% of the patients and mainly associated with PDS rather than GERD. GI symptoms, however, did not have a great impact on quality of life. Time from surgery, weight loss after surgery, as well as concomitant PPI, did not influence the symptoms.
conclusionsAfter a median follow-up of 13 months, PDS-like dyspepsia, rather than GERD, was the main complaint, both poorly responding to PPI therapy. A longer follow-up will be necessary to evaluate their future persistency.
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