ArticleFrontiers in surgery2026
Impact of meal frequency on gastroesophageal reflux disease following laparoscopic sleeve gastrectomy.
Article in Frontiers in 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.
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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.
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8 authors.
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Abstract
Background: Saudi Arabia has a high obesity rate (> 35%), increasing the risk of gastroesophageal reflux disease (GERD) and presents major health risks. Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric surgery that reduces mortality. Controversies exist regarding the recommended meal frequency following bariatric surgery, as some patients experience increased GERD symptoms postoperatively. In this study, we describe the association between meal frequency and GERD at least one year after LSG. Methods: We conducted a retrospective cohort study based on data collected from electronic medical records over a six-year period (2016-2022) at a private gastroenterology clinic in the Kingdom of Saudi Arabia. Clinical, endoscopic, and radiological examinations of the upper gastrointestinal tract were reviewed as indicated. Paired-sample t-tests and two-way analyses of variance (ANOVA) were performed. Results: The study included 109 participants (62 women, 47 men) aged 17-66 years, mostly Saudi Arabian. All patients lost weight, with Body mass index (BMI) decreasing from 46.37 to 31.24 kg/m Conclusions: Large daily meals, with few frequent meals that meet daily caloric requirements, did not show statistically significant association with reflux oesophagitis (RO).
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