The impact of bariatric surgery on esophageal function.
Obesity is a worldwide epidemic. There is increasing evidence that obesity is associated with benign gastroesophageal disease, including gastroesophageal reflux disease (GERD) and esophageal dysmotility. Bariatric surgery-including sleeve gastrectomy, gastric bypass, and adjustable gastric band placement-can effectively result in weight loss and control of obesity-related conditions, including GERD. However, there is increasing evidence that bariatric surgery itself can have a deleterious effect on esophageal function. In this review, we address the effect of obesity and bariatric surgery on esophageal dysfunction.
Division of General and Bariatric Surgery, Department of Surgery, Second University of Naples, Naples, Italy. salvatore.tolone@unina2.it.
Salvatore
S
Tolone
Division of Gastroenterology, Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Edoardo
E
Savarino
UW Surgical Services and Hernia Center, Center for Esophageal and Gastric Surgery, Department of Surgery, University of Washington, Seattle, Washington.
Robert B
RB
Yates
D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods*; D015154:Esophageal Motility Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D004947:Esophagus / Q000502:physiology*; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D009765:Obesity / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D015431:Weight Loss / Q000502:physiology
GERD; bariatric surgery; esophagus; manometry