Can lower preoperative 48-hour pH score predict reflux resolution after sleeve gastrectomy.
Document Type
Article
Publication Date
3-2021
Publication Title
American Journal of Surgery
Abstract
BACKGROUND: Morbidly-obese patients with reflux who are undergoing sleeve gastrectomy (SG) may experience resolution, or persistent reflux. We studied factors associated with reflux resolution after SG.
METHOD: We evaluated baseline weight, body mass index, and DeMeester score (DMS) in patients with reflux undergoing SG. Outcome measure was resolution of reflux post-operatively.
RESULTS: Study group included 70 patients; 33 (47.1%) patients reported resolution of reflux (RR group) after surgery; 37 (52.9%) patients didn't have resolution (NR group). Pre-operative weight, body mass index, percent excess BMI loss and presence of ≤2 cm hiatal hernia (HH) were similar between the two groups. Males and lower pre-operative DMS were associated with resolution of reflux (18.4 ± 13 vs. 29.1 ± 26, p = 0.03).
CONCLUSION: Lower pre-SG DeMeester score tend to imply ability to resolve reflux in morbidly-obese patients thus, SG may still be offered, without repair of ≤2 cm HH if present. Unfortunately, it can't be used as the only factor.
Volume
221
Issue
3
First Page
578
Last Page
580
Recommended Citation
Summe KL, Hawasli A. Can lower preoperative 48-hour pH score predict reflux resolution after sleeve gastrectomy. Am J Surg. 2021 Mar;221(3):578-580. doi: 10.1016/j.amjsurg.2020.12.045. Epub 2020 Dec 31. PMID: 33413875.
DOI
Summe KL, Hawasli A. Can lower preoperative 48-hour pH score predict reflux resolution after sleeve gastrectomy. Am J Surg. 2021 Mar;221(3):578-580. doi: 10.1016/j.amjsurg.2020.12.045. Epub 2020 Dec 31. PMID: 33413875.
ISSN
1879-1883
PubMed ID
33413875