Incidence of Abnormalities of the Gastric Tube Following Sleeve Gastrectomy and Its Role on Esophagitis Progression

Incidence of Abnormalities of the Gastric Tube Following Sleeve Gastrectomy and Its Role on Esophagitis Progression

Purpose The purpose of this study is to determine the incidence of gastric tube abnormalities after SG and its relationship with esophagitis progression. Methods Retrospective study which included 459 patients in the postoperative period of SG who underwent an esophagogastroduodenoscopy in both pre-...

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Bibliographic Details
Published in:Obesity surgery Vol. 33; no. 1; pp. 263 - 267
Main Authors: da Silva, José-Tarcísio Dias, Santa-Cruz, Fernando, Cavalcanti, Joyce Maria S., Padilha, Marina Viana, Coutinho, Lucas R., Siqueira, Luciana T., Ferraz, Álvaro A. B.
Format: Journal Article
Language:English
Published: New York Springer US 2023
Springer Nature B.V
Subjects:
Adult
Esophagitis - epidemiology
Esophagitis - etiology
Esophagitis - surgery
Female
Gastrectomy - adverse effects
Gastroesophageal Reflux - etiology
Hernia, Hiatal - surgery
Hiatal hernias
Humans
Incidence
Laparoscopy - adverse effects
Male
Medicine
Medicine & Public Health
Obesity, Morbid - surgery
Original Contributions
Retrospective Studies
Surgery
Gastric volvulus
Hiatal hernia
Gastroesophageal reflux disease
Esophagitis
Gastric fundus
Stomach dilation
Sleeve gastrectomy
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Summary:Purpose The purpose of this study is to determine the incidence of gastric tube abnormalities after SG and its relationship with esophagitis progression. Methods Retrospective study which included 459 patients in the postoperative period of SG who underwent an esophagogastroduodenoscopy in both pre- and postoperative periods. The main studied variables were presence of gastric tube abnormalities (dilation, neofundus, twist, and hiatal hernia) and esophagitis progression. Results Among the 459 patients who underwent SG, 393 (85.6%) were women, and 66 (14.4%) men, with mean age of 40.4 years. Mean preoperative BMI was 39.70 kg/m 2 . In total, 20.3% of the sample presented progression of esophagitis after surgery. Among the whole sample, 130 (28.3%) presented with an abnormality of the remnant gastric tube. The most common alteration was gastric dilation, which occurred in 16.1% of the patients, followed by gastric twist (10.7%), neofundus (7.4%), and hiatal hernia (0.2%). Patients who presented with any abnormality of the gastric tube were significantly prone to presenting esophagitis progression ( p  = 0.013). When analyzing each morphological abnormality isolated, there was no statistically significant correlation. Conclusion Abnormalities of the gastric tube are not uncommon after SG and seems to contribute partially to the relevant rates of GERD and esophagitis after this surgery. Graphical Abstract
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ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-022-06375-4