ArticleObesity surgery2016
Is Sleeve Gastrectomy Always an Absolute Contraindication in Patients with Barrett's?
Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 43 citations in OpenAlex.
- Predictors of Poor Quality of Life in Patients with Gastroesophageal Reflux Disease Undergoing Sleeve Gastrectomy.Journal of clinical medicine · 2024Article
- Upper Gastrointestinal Endoscopic Screening in Bariatric Surgery Candidates: Correlating the Findings with GERD symptoms.Obesity surgery · 2024Article
- Prevalence and Associated Factors of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy.Cureus · 2024Article
- Insights into the Paradox of the Weak Association Between Sleeve Gastrectomy and Barrett's Esophagus.Obesity surgery · 2023Review
- Reflux disease following primary sleeve gastrectomy: risk factors and possible causes.Updates in surgery · 2023Article
- Turnkey algorithmic approach for the evaluation of gastroesophageal reflux disease after bariatric surgery.Gastroenterology report · 2023Review
- Incidental Gastrointestinal Stromal Tumors (GIST) During Laparoscopic Sleeve Gastrectomy Procedures: a Retrospective Study.Obesity surgery · 2022Article
- Gastroesophageal Reflux Disease, Esophagitis, and Barrett's Esophagus 3 to 4 Years Post Sleeve Gastrectomy.Obesity surgery · 2021Article
- Comparison of sleeve gastrectomy and Roux-en-Y gastric bypass after failure of gastric banding: a two-center study with a propensity score-matched analysis.Surgical endoscopy · 2021Article
- Prevalence of Endoscopic Findings Before Bariatric Surgery and Their Influence on the Selection of the Surgical Technique.Obesity surgery · 2020Article
- Gastroesophageal Reflux and Laparoscopic Sleeve Gastrectomy: Results of the First International Consensus Conference.Obesity surgery · 2020Article
- Roux-en-Y Gastric Bypass as a Treatment for Barrett's Esophagus after Sleeve Gastrectomy.Obesity surgery · 2020Article
- Perioperative Practices Concerning Sleeve Gastrectomy - a Survey of 863 Surgeons with a Cumulative Experience of 520,230 Procedures.Obesity surgery · 2020Article
- Comparison of Repeat Sleeve Gastrectomy and Roux-en-Y Gastric Bypass in Case of Weight Loss Failure After Sleeve Gastrectomy.Obesity surgery · 2019Observational
- Bulimia nervosa in obese patients qualified for bariatric surgery - clinical picture, background and treatment.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Review
- Systematic Endoscopy 5 Years After Sleeve Gastrectomy Results in a High Rate of Barrett's Esophagus: Results of a Multicenter Study.Obesity surgery · 2019Article
- [Will laparoscopic sleeve gastrectomy continue to exist as a stand-alone procedure? : A procedure critical perspective].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Review
- Esophageal adenocarcinoma in Barrett's esophagus after sleeve gastrectomy: Case report and literature review.International journal of surgery case reports · 2018Article
- [Quality indicators for metabolic and bariatric surgery in Germany : Evidence-based development of an indicator panel for the quality of results, indications and structure].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Article
- Reflux, Sleeve Dilation, and Barrett's Esophagus after Laparoscopic Sleeve Gastrectomy: Long-Term Follow-Up.Obesity surgery · 2017Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
The incidence of esophageal adenocarcinoma is not rising at the same rate as severe obesity, and incidence-based mortality is marginally going down since 2000. Laparoscopic sleeve gastrectomy (LSG) is now the preferred operation for weight loss in several countries including the USA. Recent objective studies of reflux before and 2 years after LSG show improvement by GERD Symptom Assessment Scale score, DeMeester score, total acid exposure, as well as unchanged lower esophageal sphincter pressure measurements. Therefore, sleeve gastrectomy improves symptoms and reduces reflux in most morbidly obese patients with preoperative reflux. At the last LSG consensus conference, 94.5% of experts mentioned Barrett's esophagus to be a major contraindication for the performance of LSG, a change from 2011 (81%). But the actual incidence of Barrett's is only 1% in the severely obese. Therefore, 99% of patients should be able to get a LSG. Further, after 25 years of duodenal switch operations (which includes a sleeve gastrectomy, there are still no reports of esophageal adenocarcinoma. Hence, LSG is not a contraindication in GERD patients without Barrett's.
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Registered trials
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