Reflux gastro-œsophagien chez le ­patient obèse ; prise en charge actuelle [Gastroesophageal reflux disease in obese patients ; current management]

Details

Serval ID
serval:BIB_F9DD617F883F
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Reflux gastro-œsophagien chez le ­patient obèse ; prise en charge actuelle [Gastroesophageal reflux disease in obese patients ; current management]
Journal
Revue medicale suisse
Author(s)
Khallouf J., Figueiredo S.G., Demartines N., Schoepfer A., Schäfer M., Mantziari S.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
01/07/2020
Peer-reviewed
Oui
Volume
16
Number
699
Pages
1287-1291
Language
french
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Gastroesophageal reflux disease (GERD) has a high prevalence in the obese population with a direct correlation between increased BMI and GERD. This correlation is multifactorial, with also more complicated forms (esophagitis and metaplasia) present in obese patients, even in the absence of frank reflux symptoms. Therapeutic success largely depends on weight loss, and bariatric surgery is the cornerstone of treatment for both diseases. Roux-en-Y gastric bypass is the intervention of choice for obese patients suffering from GERD, while sleeve gastrectomy can on the contrary induce increased reflux in the long term. Classic anti-reflux surgery (fundoplication) can also be offered to these patients, while being aware of the high risk of recurrent symptoms for BMI > 30-35 kg/m2.
Keywords
Bariatric Surgery, Fundoplication, Gastric Bypass, Gastroesophageal Reflux/complications, Gastroesophageal Reflux/surgery, Humans, Obesity/complications, Obesity/surgery
Pubmed
Create date
03/07/2020 16:50
Last modification date
14/04/2021 19:11
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