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Sleeve gastrectomy with anti-reflux procedures

机译：带反流手术的袖胃切除术

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Objective Sleeve gastrectomy is the fastest growing surgical procedure to treat obesity in the world but it may cause or worsen gastroesophageal reflux disease. This article originally aimed to describe the addition of anti-reflux procedures (removal of periesophageal fats pads, hiatoplasty, a small plication and fixation of the gastric remnant in position) to the usual sleeve gastrectomy and to report early and late results.Methods Eighty-eight obese patients that also presented symptoms of gastroesophageal reflux disease were submitted to sleeve gastrectomy with anti-reflux procedures. Fifty of them were also submitted to a transit bipartition. The weight loss of these patients was compared to consecutive 360 patients previously submitted to the usual sleeve gastrectomy and to 1,140 submitted to sleeve gastrectomy + transit bipartition. Gastroesophageal reflux disease symptoms were specifically inquired in all anti-reflux sleeve gastrectomy patients and compared to the results of the same questionnaire applied to 50 sleeve gastrectomy patients and 60 sleeve gastrectomy + transit bipartition patients that also presented preoperative symptoms of gastroesophageal reflux disease.Results In terms of weight loss, excess of body mass index loss percentage after anti-reflux sleeve gastrectomy is not inferior to the usual sleeve gastrectomy and anti-reflux sleeve gastrectomy + transit bipartition is not inferior to sleeve gastrectomy + transit bipartition. Anti-reflux sleeve gastrectomy did not add morbidity but significantly diminished gastroesophageal reflux disease symptoms and the use of proton pump inhibitors to treat this condition.Conclusion The addition of anti-reflux procedures, such as hiatoplasty and cardioplication, to the usual sleeve gastrectomy did not add morbidity neither worsened the weight loss but significantly reduced the occurrence of gastroesophageal reflux disease symptoms as well as the use of proton pump inhibitors.
机译：目的袖式胃切除术是世界上发展最快的肥胖手术，但它可能引起或加重胃食管反流病。本文的最初目的是描述在常规的袖式胃切除术中增加抗反流程序（去除食道脂肪垫，肺动脉成形术，少量的褶皱和将胃残余物固定在适当位置）并报告早期和晚期结果。八名同时出现胃食管反流疾病症状的肥胖患者接受了抗反流手术进行袖状胃切除术。其中有五十个也提交给过境师。将这些患者的体重减轻与先前接受常规袖状胃切除术的连续360例患者和接受袖状胃切除术+转运分割的1,140例患者进行了比较。在所有抗反流胃切除术患者中特别询问了胃食管反流疾病的症状，并将其与应用于50例胃切除术患者和60例胃切除术+穿刺分割患者的同一份调查表的结果进行了比较，这些患者也表现出胃食管反流疾病的术前症状。在减重方面，抗反流式袖胃切除术后的体重指数损失百分比超过一般的袖式胃切除术，抗反流式袖胃切除术+穿刺分割不劣于袖形胃切除+穿刺分割。胃反流袖套胃切除术未增加发病率，但显着减轻了胃食管反流疾病的症状，并没有使用质子泵抑制剂来治疗这种情况。结论在常规的袖子胃切除术中未添加抗胃返流手术，如肺泡成形术和心脏复律术增加发病率既不会使体重减轻，但可以显着减少胃食管反流疾病症状的发生以及质子泵抑制剂的使用。

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