Improvement in gastroesophageal reflux disease symptoms after various bariatric procedures: Review of the Bariatric Outcomes Longitudinal Database

Pradeep K. Pallati, Abhijit Shaligram, Valerie K. Shostrom, Dmitry Oleynikov, Corrigan L. McBride, Matthew R. Goede

Research output: Contribution to journalReview article

64 Citations (Scopus)

Abstract

Background The prevalence of gastroesophageal reflux disease (GERD) in the morbidly obese population is as high as 45%. The objective of this study was to compare the efficacy of various bariatric procedures in the improvement of GERD. Methods The Bariatric Outcomes Longitudinal Database is a prospective database of patients who undergo bariatric surgery by a participant in the American Society of Metabolic and Bariatric Surgery Center of Excellence program. GERD is graded on a 6-point scale, from 0 (no history of GERD) to 5 (prior surgery for GERD). Patients with GERD severe enough to require medications (grades 2, 3, and 4) from June 2007 to December 2009 are identified; the resolution of GERD is noted based on 6-month follow-up. Results Of a total of 116,136 patients, 36,938 patients had evidence of GERD preoperatively. After excluding patients undergoing concomitant hiatal hernia repair or fundoplication, there were 22,870 patients with 6-month follow-up. Mean age was 47.6±11.1 years, with an 82% female population. Mean BMI was 46.3±8.0 kg/m2. Mean preoperative GERD score for patients with Roux-en-Y gastric bypass (RYGB) was 2.80±.56, and mean postoperative score was 1.33±1.41 (P

Original languageEnglish
Pages (from-to)502-507
Number of pages6
JournalSurgery for Obesity and Related Diseases
Volume10
Issue number3
DOIs
StatePublished - 2014

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Bariatrics
Gastroesophageal Reflux
Databases
Bariatric Surgery
Fundoplication
Hiatal Hernia
Gastric Bypass
Herniorrhaphy
Population

All Science Journal Classification (ASJC) codes

  • Surgery
  • Medicine(all)

Cite this

Improvement in gastroesophageal reflux disease symptoms after various bariatric procedures : Review of the Bariatric Outcomes Longitudinal Database. / Pallati, Pradeep K.; Shaligram, Abhijit; Shostrom, Valerie K.; Oleynikov, Dmitry; McBride, Corrigan L.; Goede, Matthew R.

In: Surgery for Obesity and Related Diseases, Vol. 10, No. 3, 2014, p. 502-507.

Research output: Contribution to journalReview article

Pallati, Pradeep K. ; Shaligram, Abhijit ; Shostrom, Valerie K. ; Oleynikov, Dmitry ; McBride, Corrigan L. ; Goede, Matthew R. / Improvement in gastroesophageal reflux disease symptoms after various bariatric procedures : Review of the Bariatric Outcomes Longitudinal Database. In: Surgery for Obesity and Related Diseases. 2014 ; Vol. 10, No. 3. pp. 502-507.
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N2 - Background The prevalence of gastroesophageal reflux disease (GERD) in the morbidly obese population is as high as 45%. The objective of this study was to compare the efficacy of various bariatric procedures in the improvement of GERD. Methods The Bariatric Outcomes Longitudinal Database is a prospective database of patients who undergo bariatric surgery by a participant in the American Society of Metabolic and Bariatric Surgery Center of Excellence program. GERD is graded on a 6-point scale, from 0 (no history of GERD) to 5 (prior surgery for GERD). Patients with GERD severe enough to require medications (grades 2, 3, and 4) from June 2007 to December 2009 are identified; the resolution of GERD is noted based on 6-month follow-up. Results Of a total of 116,136 patients, 36,938 patients had evidence of GERD preoperatively. After excluding patients undergoing concomitant hiatal hernia repair or fundoplication, there were 22,870 patients with 6-month follow-up. Mean age was 47.6±11.1 years, with an 82% female population. Mean BMI was 46.3±8.0 kg/m2. Mean preoperative GERD score for patients with Roux-en-Y gastric bypass (RYGB) was 2.80±.56, and mean postoperative score was 1.33±1.41 (P

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