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Esophageal Reflux Disease Before and After Bariatric Surgery

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Abstract

Obesity increases the risk of various weight-related disorders, including esophageal reflux disease. In this chapter, we complete a focused review of GERD before and after bariatric surgery. We will discuss the prevalence and pathophysiology of reflux in bariatric surgery patients. The rationale and management of reflux before bariatric surgery will also be addressed including surgical options such as fundoplication and the various bariatric surgery procedures that can improve reflux disease. Finally, we will discuss anti-reflux treatment options after weight loss surgery, in particular conversion from sleeve gastrectomy to Roux-en-Y gastric bypass (RYGB), placement of LINX, as well as fundoplication after sleeve gastrectomy and RYGB.

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Authors and Affiliations

  1. Department of Surgery, Wright State University Boonshoft School of Medicine, Dayton, OH, USA

    Joon K. Shim & Riyad J. Tayim

  2. St. Alexius Hospital, St. Louis, MO, USA

    Ryan K. Lehmann

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  1. Joon K. Shim
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  2. Riyad J. Tayim
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  3. Ryan K. Lehmann
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Correspondence to Joon K. Shim .

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Editors and Affiliations

  1. Foregut and Bariatric Surgeon, Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic, Portland, Oregon, USA

    Kevin M. Reavis

  2. Long Island Jewish Forest Hills Hospital, Department of Surgery, Hofstra-Northwell School of Medicine, Forest Hills, New York, USA

    Allison M. Barrett

  3. Institute Chief, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

    Matthew D. Kroh

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Shim, J.K., Tayim, R.J., Lehmann, R.K. (2018). Esophageal Reflux Disease Before and After Bariatric Surgery. In: Reavis, K., Barrett, A., Kroh, M. (eds) The SAGES Manual of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-71282-6_47

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