Z Gastroenterol 2022; 60(08): e575
DOI: 10.1055/s-0042-1754943
Abstracts | DGVS/DGAV
Metabolische Chirurgie
Bariatrische Therapie: Techniken und Komplikationen
Freitag, 16. September 2022, 14:20–15:48, Saal 8

GERD and Barrett’s esophagus in bariatric surgery

Y Moulla
1   Department of Visceral, Transplant, Thoracic and Vascular Surgery , University Hospital of Leipzig, Leipzig, Deutschland
,
H Hamade
2   Department of Visceral, Transplant, Thoracic, and Vascular Surgery, University Hospital of Leipzig, Leipzig, Deutschland
,
J Feisthammel
3   Clinic for Gastroenterology, Department of Internal Medicine, University Hospital of Leipzig, Leipzig, Deutschland
,
M Blüher
4   Medical Department III – Endocrinology, Nephrology, Rheumatology, University of Leipzig Medical Center, Leipzig, Deutschland
,
I Gockel
1   Department of Visceral, Transplant, Thoracic and Vascular Surgery , University Hospital of Leipzig, Leipzig, Deutschland
,
A Dietrich
1   Department of Visceral, Transplant, Thoracic and Vascular Surgery , University Hospital of Leipzig, Leipzig, Deutschland
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    Introduction The role of preoperative Gastroscopy in obesity surgery in detecting a lot of abnormalities of Upper-GI such as GERD and BE`s has been already proved in our pervious study. The Development of GERD and BE`s after bariatric surgery still controversy in the bariatric surgery. The Aim of this study is to evaluate the development of GERD and BE`s in patients underwent bariatric surgery including LGB and LSG

    Material and Methods In our single center prospectively-established database of obese patients, who u nderwent bariatric surgery from 01/2012 to 12/2019, we retrospectively compare the preoperative endoscopic finding of patients with BE`s to these findings after 1-2 years and 3-5 years after the bariatric surgery. The regression of BE’s was defined based on the endoscopic findings as a 1 cm down grade of Prague classification circumferential (C) as well as maximum extent (M) or completeregression of BE’s, histologically as a conversion of intestinal metaplasia to squamous epithelium or conversion of dysplastic dysplasia to intestinal metaplasia

    Results Among 914 bariatric patients, we found 119 patients (13%) with BE’s. A control gastroscopy could be performed in 74 BE’s Patients (62.2%). 37 patients received a control gastroscopy after 1-2 years and 47 patient after 3-5 years. Depending on our analysis, the surgical procedure was the only significant factor for the development of GERD and BE’s after bariatric surgery (P< 0.05). The progression of GERD after LGB was detected only in one patient (4.2%, n=54) and in 10 patients (50%, n=10) after LSG in patients. Furthermore, the progression of BE’s after LGB in 4 patient (7.4%, n=54) and in 6 patients (30%, n=20) after LSG.

    Conclusion Laparoscopic gastric bypass should be considered in obese patients with GERD or BE`s. Therefore, detecting of GERD and BE`s prior to bariatric surgery may has an obvious impact on decision making regarding the suitable surgical bariatric procedure.

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    Publication History

    Article published online:
    19 August 2022

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