Evidence map›Paper›PMID 41629732›Full record

ArticleObesity surgery2026

The Impact of Gastroesophageal Reflux Disease on Esophageal Motility in Patients Undergoing Laparoscopic Sleeve Gastrectomy: a Retrospective Record-Based Study.

Sarah A Alkashgry, Yahya H Alqahtani, Ahmad S Alharbi, Aly M Elbahrawy

Abstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sarah A AlkashgryDepartment of Surgery, Bariatric and Upper GI Surgery, King Abdullah Medical City, Makkah, Saudi Arabia. sarah1.stara1@gmail.com.
Yahya H AlqahtaniDepartment of Surgery, Bariatric and Upper GI Surgery, King Abdullah Medical City, Makkah, Saudi Arabia.
Ahmad S AlharbiDepartment of Surgery, Bariatric and Upper GI Surgery, King Abdullah Medical City, Makkah, Saudi Arabia.
Aly M ElbahrawyDepartment of Surgery, Bariatric and Upper GI Surgery, King Abdullah Medical City, Makkah, Saudi Arabia. elbahrawy.A2@kamc.med.sa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic sleeve gastrectomy (LSG) is a widely performed bariatric procedure, known for its efficacy in weight reduction and metabolic improvement. Postoperative development or exacerbation of gastroesophageal reflux disease (GERD) and its impact on esophageal motility remain areas of concern. This study aimed to assess the impact of GERD on esophageal motility in patients undergoing LSG and associated predictors using multivariate analysis.

settingKing Abdullah Medical City, Makkah, Saudi Arabia.

methodsA retrospective, record-based cohort study was conducted on 600 patients who underwent LSG, with inclusion criteria requiring availability of both preoperative and postoperative high-resolution manometry (HRM) and documented GERD status. Sociodemographic, clinical, endoscopic, and manometric data were analyzed using descriptive and inferential statistics, including multivariate logistic regression.

resultsPostoperative GERD symptoms were prevalent across all age groups, especially in younger patients and smokers, though no significant associations were found with gender, comorbidities, or preoperative proton pump inhibitors (PPI) use. While most patients exhibited normal peristalsis and esophageal motility post-surgery, ineffective peristalsis and mild motility disorders were observed more frequently in those with GERD. Multivariate analysis identified preoperative GERD (OR = 3.20, p = 0.032), postoperative GERD (OR = 2.85, p = 0.041), and limited BMI reduction or postoperative weight gain as significant predictors of esophageal motility disorders.

conclusionGERD, both pre- and postoperatively, significantly increases the risk of esophageal motility dysfunction after LSG. Suboptimal weight loss further contributes to this risk, emphasizing the need for comprehensive preoperative evaluation and long-term follow-up to optimize outcomes.

Indexed as

Esophageal Motility DisordersGastrectomyGastroesophageal RefluxLaparoscopyObesity, MorbidPostoperative ComplicationsAdultFemaleHumansMaleManometryMiddle AgedRetrospective StudiesSaudi ArabiaTreatment OutcomeBariatric surgeryEsophageal motilityGastrectomyGastroesophageal refluxSleeve

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.