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- W4327719787 abstract "The increased incidence of de novo gastroesophageal reflux disease (GERD) after sleeve gastrectomy (SG) along with its consequences, including the potential transformation into Barrett esophagus (BE) and ultimately esophageal cancer, impelled an increased number of publications on this subject. In an attempt to better understand the true incidence of BE after 2 commonly performed bariatric procedures, laparoscopic SG and laparoscopic Roux-en-Y gastric bypass (RYGB), Wölnerhanssen et al. prospectively studied a cohort of 169 patients (86 RYGB and 83 SG) to evaluate the postoperative development of BE after at least 5 years of follow-up [ [1] Wölnerhanssen BK, Meyer-Gerspach AC, Nussbaumer R, et al. Prospective clinical cohort study: low incidence of Barrett esophagus but high rate of reflux disease at 5-year follow-up after sleeve gastrectomy versus Roux-en-Y gastric bypass. Surg Obes Relat Dis. Epub 2023 Feb 27. Google Scholar ]. After a median of 7.0 ± 1.5 years, the incidence of BE in the SG and RYGB groups was 3.6% versus 1.2%, respectively (P = .362), concluding that there was no statistically significant increased risk of BE after SG compared with RYGB. On the other hand, patients in the SG group did have higher rates of dyspeptic symptoms, reflux esophagitis, pathological acid exposure, and use of proton pump inhibitors when compared with RYGB. Of note, 22 patients were converted from sleeve to bypass and were excluded from the analysis, and this could have skewed the reported outcomes. Prospective clinical cohort study: low incidence of Barrett esophagus but high rate of reflux disease at 5-year follow-up after sleeve gastrectomy versus Roux-en-Y gastric bypassSurgery for Obesity and Related DiseasesPreviewGastroesophageal reflux disease seems more frequent after laparoscopic sleeve gastrectomy (LSG) than Roux-en-Y gastric bypass (LRYGB). Retrospective case series have raised concerns about a high incidence of Barrett esophagus (BE) after LSG. Full-Text PDF Open Access" @default.
- W4327719787 created "2023-03-18" @default.
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- W4327719787 date "2023-07-01" @default.
- W4327719787 modified "2023-09-26" @default.
- W4327719787 title "Comment on: Prospective clinical cohort study: low incidence of Barrett esophagus but high rate of reflux disease at 5-year follow-up after sleeve gastrectomy versus Roux-en-Y gastric bypass" @default.
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- W4327719787 doi "https://doi.org/10.1016/j.soard.2023.03.007" @default.
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