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

61 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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