Turnkey algorithmic approach for the evaluation of gastroesophageal reflux disease after bariatric surgery  

作　　者：Omar M.Ghanem Rabih Ghazi Farah Abdul Razzak Fateh Bazerbachi Karthik Ravi Leena Khaitan Shanu N.Kothari Barham K.Abu Dayyeh 

机构地区：[1]Department of Surgery,Mayo Clinic,Rochester,MN,USA [2]Department of Medicine,Mayo Clinic,Rochester,MN,USA [3]CentraCare,Interventional Endoscopy Program,St Cloud Hospital,St Cloud,MN,USA [4]Department of Surgery,CaseWestern Reserve University,Cleveland,OH,USA [5]Department of Surgery,Prisma Health,Greenville,SC,USA

出　　处：《Gastroenterology Report》2023年第1期123-130,共8页胃肠病学报道（英文）

摘　　要：Bariatric surgeries are often complicated by de-novo gastroesophageal reflux disease(GERD)or worsening of pre-existing GERD.The growing rates of obesity and bariatric surgeries worldwide are paralleled by an increase in the number of patients requiring post-surgical GERD evaluation.However,there is currently no standardized approach for the assessment of GERD in these patients.In this review,we delineate the relationship between GERD and the most common bariatric surgeries:sleeve gastrectomy(SG)and Roux-en-Y gastric bypass(RYGB),with a focus on pathophysiology,objective assessment,and underlying anatomical and motility disturbances.We suggest a stepwise algorithm to help diagnose GERD after SG and RYGB,determine the underlying cause,and guide the management and treatment.

关 键 词：RYGB sleeve gastrectomy bariatric surgery gastroesophageal reflux disease GERD 

分 类 号：R571[医药卫生—消化系统]