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Gastroesophageal Reflux Disease in Obesity: Bariatric Surgery as Both the Cause and the Cure in the Morbidly Obese Population

JOURNAL OF CLINICAL MEDICINE (2023)

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Outcomes of Bariatric Surgery With Concomitant Hiatal Hernia Repair Using an Absorbable Tissue Matrix

Michael W. Love et al.

Summary: This retrospective study examined the safety and benefits of using a biosynthetic tissue matrix (BTM) for concomitant hiatal hernia repair during bariatric surgery. The results suggest that using BTM reinforcement may reduce the recurrence rates of hiatal hernia in gastric bypass and vertical sleeve gastrectomy patients. Performing hiatal hernia repair alongside these bariatric surgical procedures is deemed safe and durable.

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Summary: Magnetic sphincter augmentation (MSA) is a less invasive alternative treatment for GERD after laparoscopic sleeve gastrectomy (LSG). This study assessed the safety and efficacy of MSA after LSG. The results showed that MSA can improve GERD symptoms and reduce the use of PPI.

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Article Surgery

Bariatric revisional surgery for gastrogastric fistula following Roux-en-Y gastric bypass positively impacts weight loss

Luis Pina et al.

Summary: The study aims to evaluate the perioperative outcomes and long-term total body weight loss after revision surgery for gastrogastric fistula. Results showed that revision surgery, although safe, is associated with higher morbidity compared to primary bariatric surgery. However, it leads to significant long-term weight loss.

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Article Surgery

Multi-society consensus conference and guideline on the treatment of gastroesophageal reflux disease (GERD)

Bethany J. Slater et al.

Summary: This guideline provides evidence-based recommendations for the treatment of gastroesophageal reflux disease (GERD) using endoscopic and surgical methods. Thirteen recommendations were formulated, including a treatment algorithm and suggestions for future research.

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Article Surgery

Sleeve Gastrectomy with Rossetti Fundoplication Increases Lower Esophageal Sphincter Tone Preventing Gastroesophageal Reflux Disease: High-Resolution Manometry Assessment

Francesco Di Capua et al.

Summary: This study found that Rossetti fundoplication associated with LSG can increase LES tone and decrease the chance of developing long-term GERD after surgery.

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES (2023)

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Vonoprazan Versus Lansoprazole for Healing and Maintenance of Healing of Erosive Esophagitis: A Randomized Trial

Loren Laine et al.

Summary: This study found that vonoprazan, a potassium-competitive acid blocker, was noninferior and superior to the PPI lansoprazole in healing and maintenance of erosive esophagitis, particularly in patients with more severe cases.

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Article Surgery

Conversion to Roux-En-Y Gastric Bypass: a successful means of mitigating reflux after laparoscopic sleeve gastrectomy

Alexandra L. L. Strauss et al.

Summary: The objective of this study was to characterize the patients who underwent conversion from laparoscopic sleeve gastrectomy (LSG) to Roux-En-Y Gastric Bypass (RYGB) and to better understand pre-operative predictors of gastroesophageal reflux disease (GERD) and revision. The study found that the majority of patients who underwent the conversion surgery experienced significant improvements in GERD symptoms and outcomes.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2023)

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Efficacy of Sleeve Gastrectomy with Concomitant Hiatal Hernia Repair versus Sleeve-Fundoplication on Gastroesophageal Reflux Disease Resolution: Systematic Review and Meta-Analysis

Lidia Castagneto-Gissey et al.

Summary: This study systematically reviewed and meta-analyzed the efficacy of sleeve gastrectomy (SG) with concomitant hiatal hernia repair (SG + HHR) versus SG with fundoplication (SG + FP) on gastroesophageal reflux disease (GERD) remission in patients with obesity. The results showed that SG + FP had better control of GERD compared to SG + HHR, despite a higher overall complication rate. Both strategies can be considered as suitable alternatives to conventional SG in patients with obesity and concomitant hiatal hernia and/or GERD.

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Optimal common limb length in Roux-en-Y gastric bypass surgery: is it important for an ideal outcome? - a systematic review

Amy Hort et al.

Summary: This review focuses on the effect of variations in common limb length (CLL) in Roux-en-Y gastric bypass (RYGB) surgery on post-operative outcomes. The results show that different CLL lengths do not significantly affect weight loss, but shorter CLL lengths are associated with metabolic improvements, while CLL lengths of 400 cm result in more severe nutritional deficiencies.

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Endoscopic closure versus surgical revision in the management of gastro-gastric fistula following Roux-en-Y gastric bypass

Russell D. Dolan et al.

Summary: This study compared endoscopic and surgical treatment methods in gastric bypass patients with gastro-gastric fistulae. It was found that endoscopic treatment resulted in greater improvement in abdominal pain and fewer adverse events, while surgical revision led to greater weight loss.

ENDOSCOPY INTERNATIONAL OPEN (2023)

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Differences in Technical Aspects of Primary Sleeve Gastrectomy Prior to Redo Bariatric Surgery-A Multicenter Cohort Study (PROSS Study)

Piotr Zarzycki et al.

Summary: Although laparoscopic sleeve gastrectomy is technically simple, there are variations in different parts of the procedure among bariatric surgeons, which may impact postoperative outcomes. A multicenter observational study found that there were no significant differences in certain parameters before revisional surgery, but weight regain and staple line oversewing were significantly different in some patients.

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Use of vonoprazan, a novel potassium-competitive acid blocker, for the treatment of proton pump inhibitor-refractory reflux esophagitis in patients with systemic sclerosis

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ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease

Philip O. Katz et al.

Summary: This article provides updated recommendations and practical guidance for the evaluation and management of GERD, including pharmacologic, lifestyle, surgical, and endoscopic management. The use of proton pump inhibitors (PPIs) has raised concerns about long-term safety and overprescribing. New data regarding surgical and endoscopic interventions have also emerged.

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Effect of laparoscopic sleeve gastrectomy vs laparoscopic sleeve plus Rossetti fundoplication on weight loss and de novo GERD in patients affected by morbid obesity: a randomized clinical study

Stefano Olmi et al.

Summary: This study compared sleeve gastrectomy (SG) to SG associated with Rossetti fundoplication (SG + RF) in terms of de novo gastro-esophageal reflux disease (GERD) after surgery, weight loss, and postoperative complications. The results showed that SG + RF was effective in preventing the occurrence of de novo GERD and had similar weight loss outcomes to classic SG at 12-month follow-up.

OBESITY SURGERY (2022)

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Outcome of Sleeve Gastrectomy Converted to Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass

D. M. Felsenreich et al.

Summary: Sleeve gastrectomy (SG) is a common bariatric procedure, but there is a high conversion rate to other procedures due to weight regain and GERD. This study found that converting SG patients to RYGB may be the best option for those with GERD, while OAGB showed less potential for curing GERD symptoms. Both procedures were effective in terms of weight loss and improvement of associated medical problems.

OBESITY SURGERY (2022)

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Laura Mazer et al.

Summary: This study retrospectively analyzed patients undergoing serial PBD for GSS to assess weight trends. Results showed no significant difference in BMI pre- or post-PBD, with most patients effectively treated without impacting weight gain. Serial PBD may be an effective and appealing option for GSS treatment in patients undergoing sleeve gastrectomy.

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Comment on: Laparoscopic sleeve gastrectomy with Rossetti fundoplication: long-term (5-year) follow-up

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American Society for Metabolic and Bariatric Surgery 2020 estimate of metabolic and bariatric procedures performed in the United States

Benjamin Clapp et al.

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Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy effects on obesity comorbidities: A systematic review and meta-analysis

Salah Alghamdi et al.

Summary: This review compares the effectiveness of LRYGB and LSG in the treatment of diabetes, hypertension, dyslipidemias, obstructive sleep apnea, and gastroesophageal reflux. The results show that LRYGB is superior to LSG in remission of gastroesophageal reflux, hypertension, and dyslipidemia, while the two procedures are equally effective in treating diabetes and obstructive sleep apnea. Further research comparing LSG and one anastomosis gastric bypass is recommended.

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GASTROESOPHAGEAL SYMPTOMS AFTER LAPAROSCOPIC GASTRIC BYPASS: MISTAKES IN PERFORMING THE PROCEDURE?

Italo Braghetto et al.

Summary: Gastroesophageal reflux and other postoperative symptoms can occur after LGB, which are primarily associated with anatomical and physiological abnormalities at the esophagogastric junction and proximal gastric pouch.

ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA-BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY (2022)

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Endoscopic management of leaks and fistulas after bariatric surgery: a systematic review and meta-analysis

Pawel Rogalski et al.

Summary: The systematic review and meta-analysis showed that endoscopic techniques, including self-expandable stents, clipping, and tissue sealants, are effective in closing post-bariatric surgery leaks and fistulas. The success rates were high for stents (92%), clips (67.1% for OTSC system) and fibrin glue (92.8-100%). Complications were relatively low, indicating that these endoscopic methods are suitable for properly selected patients.

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Revisional endoscopic sleeve gastroplasty of laparoscopic sleeve gastrectomy: an international, multicenter study

Daniel B. Maselli et al.

Summary: This study investigated the safety and efficacy of revisional endoscopic sleeve gastroplasty (R-ESG) in a large international cohort of patients who experienced weight regain after laparoscopic sleeve gastrectomy (LSG). The results showed that R-ESG is a safe and effective method for facilitating weight loss in patients with weight recidivism after LSG, with sustained results at 1 year.

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Barrett's esophagus after sleeve gastrectomy: a systematic review and meta-analysis

Bashar J. Qumseya et al.

Summary: After analyzing 10 studies, it was found that the prevalence of BE is high in patients undergoing EGD after SG, with no significant correlation with postoperative GERD symptoms. Most cases of BE were observed after 3 years.

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Magnetic Sphincter Augmentation Placement for Recalcitrant Gastroesophageal Reflux Disease Following Bariatric Procedures: A Systematic Review and Bayesian Meta-Analysis

Emanuele Rausa et al.

Summary: The study found that MSA is effective in managing gastroesophageal reflux disease (GERD). Despite being based on retrospective studies, the results showed significant changes in GERD-HRQL scores before and after surgery among patients. Prospective randomized controlled trials with standardized surgical techniques and objective follow-up evaluation are needed to further assess the efficacy of MSA.

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES (2021)

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Sleeve gastrectomy with tailored 360° fundoplication according to Rossetti in patients affected by obesity and gastroesophageal reflux: a prospective observational study

Stefano Olmi et al.

Summary: The study evaluated the effectiveness of LSG + Rossetti antireflux fundoplication in patients affected by morbid obesity and GERD. Results showed a significant decrease in BMI and improvement in GERD symptoms after 1 year following surgery. Other comorbidities also improved, indicating that the procedure could be considered as a safe and effective option for obese patients with GERD.

SURGERY FOR OBESITY AND RELATED DISEASES (2021)

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US national trends in bariatric surgery: A decade of study

A. Abdullah Alalwan et al.

Summary: This study analyzed the trends and changes in bariatric surgery from 2006 to 2015, showing a gradual increase in overall bariatric surgery in the first 5 years and steady rates in the last 5 years. Sleeve gastrectomy and Roux-en-Y remain the most performed bariatric procedures. Laparoscopic surgery continues to dominate bariatric surgery compared with open surgery.

SURGERY (2021)

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Impact of bariatric surgery on surveillance and treatment outcomes of Barrett's esophagus: A stage-matched cohort study

Veeravich Jaruvongvanich et al.

Summary: Obesity may increase the risk of Barrett's esophagus, while Roux-en-Y gastric bypass could alter its natural course. Data on Barrett's esophagus progression after RYGB are scarce. This study found that RYGB appears to be a protective factor for disease progression to neoplastic Barrett's esophagus during endoscopic surveillance, but ongoing monitoring is still necessary. Endoscopic eradication therapy seemed to have similar effectiveness between RYGB patients and controls with obesity.

SURGERY FOR OBESITY AND RELATED DISEASES (2021)

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ASMBS position statement on the rationale for performance of upper gastrointestinal endoscopy before and after metabolic and bariatric surgery

Guilherme M. Campos et al.

Summary: The statement issued by the American Society for Metabolic and Bariatric Surgery provides recommendations on endoscopic examination before metabolic and bariatric surgery (MBS) and postoperative surveillance for mucosal abnormalities. It is based on current clinical knowledge, expert opinion, and published scientific evidence to ensure the effectiveness of surgery and patient safety.

SURGERY FOR OBESITY AND RELATED DISEASES (2021)

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Endoscopic Management of Staple Line Leak after Bariatric Surgery: Surgeon's Perspective

Yoona Chung et al.

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Mike T. Wei et al.

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Use of lumen-apposing metal stents (LAMS) in the management of gastro jejunostomy stricture following Roux-en-Y Gastric Bypass for obesity: a prospective series

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Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis

Po-Chih Chang et al.

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MEDICINA-LITHUANIA (2021)

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Article Gastroenterology & Hepatology

Indications for Revisions Following 630 Consecutive Laparoscopic Sleeve Gastrectomy Cases: Experience in a Single Accredited Center

Maher El Chaar et al.

JOURNAL OF GASTROINTESTINAL SURGERY (2017)

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Article Gastroenterology & Hepatology

Waist to hip ratio is a better predictor of esophageal acid exposure than body mass index

C. Ringhofer et al.

NEUROGASTROENTEROLOGY AND MOTILITY (2017)

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Article Surgery

Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass is Effective for Gastro-Oesophageal Reflux Disease but not for Further Weight Loss

Chetan D. Parmar et al.

OBESITY SURGERY (2017)

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Article Surgery

Safety and effectiveness of anterior fundoplication sleeve gastrectomy in patients with severe reflux

Rena C. Moon et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2017)

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Article Surgery

Over-the-scope clip for endoscopic closure of gastrogastnc fistulae

Benjamin Niland et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2017)

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Article Surgery

Gastroesophageal reflux disease and Barrett's esophagus after laparoscopic sleeve gastrectomy: a possible, underestimated long-term complication

Alfredo Genco et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2017)

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Review Surgery

Long-term results after sleeve gastrectomy: A systematic review

Zygimantas Juodeikis et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2017)

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Article Surgery

Sleeve gastrectomy revision by endoluminal sleeve plication gastroplasty: a small pilot case series

George Eid

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2017)

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Article Gastroenterology & Hepatology

SLEEVE GASTRECTOMY AND FUNDOPLICATION AS A SINGLE PROCEDURE IN PATIENTS WITH OBESITY AND GASTROESOPHAGEAL REFLUX

Juan Pablo Lasnibat et al.

ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA-BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY (2017)

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Article Surgery

Usefulness of Upper Gastrointestinal Symptoms as a Driver to Prescribe Gastroscopy in Obese Patients Candidate to Bariatric Surgery. A Prospective Study

Marilia Carabotti et al.

OBESITY SURGERY (2016)

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Editorial Material Surgery

Hill procedure for recurrent GERD post-Roux-en-Y gastric bypass

Radu Pescarus et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2016)

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Editorial Material Gastroenterology & Hepatology

Lumen-apposing metal stent for the treatment of refractory gastrojejunal anastomotic stricture after laparoscopic gastric bypass

Hugo Uchima et al.

GASTROINTESTINAL ENDOSCOPY (2016)

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Article Surgery

Laparoscopic Sleeve Gastrectomy: Does Bougie Size Affect Weight Loss?

Nisha Dhanabalsamy et al.

Surgery for Obesity and Related Diseases (2016)

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Article Surgery

Nissen Sleeve (N-Sleeve) operation: preliminary results of a pilot study

David Nocca et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2016)

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Article Surgery

Reasons and outcomes of conversion of laparoscopic sleeve gastrectomy to Roux-en-Y gastric bypass for nonresponders

Abraham Abdemur et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2016)

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Article Surgery

Impact of sleeve gastrectomy on gastroesophageal reflux disease in a morbidly obese population undergoing bariatric surgery

LeShon Hendricks et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2016)

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Article Endocrinology & Metabolism

Preoperative endoscopy may reduce the need for revisional surgery for gastro-oesophageal reflux disease following laparoscopic sleeve gastrectomy

B. M. Madhok et al.

CLINICAL OBESITY (2016)

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Editorial Material Gastroenterology & Hepatology

Endoscopic sleeve plication for revision of sleeve gastrectomy

Reem Z. Sharaiha et al.

GASTROINTESTINAL ENDOSCOPY (2015)

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Article Gastroenterology & Hepatology

Gastroesophageal Reflux Management with the LINXA® System for Gastroesophageal Reflux Disease Following Laparoscopic Sleeve Gastrectomy

Kenneth Desart et al.

JOURNAL OF GASTROINTESTINAL SURGERY (2015)

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Article Surgery

Laparoscopic Partial Sleeve Gastrectomy with Fundoplication for Gastroesophageal Reflux and Delayed Gastric Emptying

Philip A. Le Page et al.

WORLD JOURNAL OF SURGERY (2015)

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Article Surgery

Rates of Reflux Before and After Laparoscopic Sleeve Gastrectomy for Severe Obesity

Caroline E. Sheppard et al.

OBESITY SURGERY (2015)

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Article Surgery

Laparoscopic Sleeve-Collis-Nissen Gastroplasty: a Safe Alternative for Morbidly Obese Patients with Gastroesophageal Reflux Disease

Leonardo Emilio da Silva et al.

OBESITY SURGERY (2015)

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Review Surgery

Prophylactic PPI help reduce marginal ulcers after gastric bypass surgery: a systematic review and meta-analysis of cohort studies

Valerie Wu Chao Ying et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2015)

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Article Gastroenterology & Hepatology

Obesity and GERD

Paul Chang et al.

GASTROENTEROLOGY CLINICS OF NORTH AMERICA (2014)

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Article Gastroenterology & Hepatology

Update on the epidemiology of gastro-oesophageal reflux disease: a systematic review

Hashem B. El-Serag et al.

GUT (2014)

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Article Surgery

Laparoscopic Sleeve Gastrectomy Using 42-French Versus 32-French Bougie: The First-Year Outcome

Hadar Spivak et al.

OBESITY SURGERY (2014)

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Article Surgery

Frequency of abnormal esophageal acid exposure in patients eligible for banatnc surgery

Jesica Martin-Perez et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2014)

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Article Gastroenterology & Hepatology

Multipurpose use of the over-the-scope-clip system (Bear claw) in the gastrointestinal tract: Swiss experience in a tertiary center

Michael Christian Sulz et al.

WORLD JOURNAL OF GASTROENTEROLOGY (2014)

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Article Surgery

Laparoscopic Sleeve Gastrectomy in Patients With Preexisting Gastroesophageal Reflux Disease A National Analysis

Cecily E. DuPree et al.

JAMA SURGERY (2014)

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Review Gastroenterology & Hepatology

Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease

Philip O. Katz et al.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2013)

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Article Surgery

Indications and Mid-Term Results of Conversion from Sleeve Gastrectomy to Roux-en-Y Gastric Bypass

Thomas Gautier et al.

OBESITY SURGERY (2013)

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Article Surgery

Prevalence of hiatal hernia in the morbidly obese

Fredrick Che et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2013)

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Article Surgery

Increase in gastroesophageal reflux disease symptoms and erosive esophagitis 1 year after laparoscopic sleeve gastrectomy among obese adults

Chi-Ming Tai et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2013)

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Article Surgery

Impact on Perioperative Outcomes of Concomitant Hiatal Hernia Repair with Laparoscopic Gastric Bypass

Vishal Kothari et al.

OBESITY SURGERY (2012)

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Article Surgery

Transoral gastric volume reduction as intervention for weight management: 12-month follow-up of TRIM trial

Stacy A. Brethauer et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2012)

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Article Surgery

Association between gastroesophageal reflux disease and laparoscopic sleeve gastrectomy

Patrice R. Carter et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2011)

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Article Surgery

Gastroesophageal reflux after sleeve gastrectomy in morbidly obese patients

Drew D. Howard et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2011)

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Article Gastroenterology & Hepatology

Gastroesophageal Reflux Disease and Obesity

Girish Anand et al.

GASTROENTEROLOGY CLINICS OF NORTH AMERICA (2010)

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Article Endocrinology & Metabolism

Serum Leptin and Adiponectin Levels and Risk of Barrett's Esophagus and Intestinal Metaplasia of the Gastroesophageal Junction

Olivia M. Thompson et al.

OBESITY (2010)

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Article Surgery

Dilated Upper Sleeve Can be Associated with Severe Postoperative Gastroesophageal Dysmotility and Reflux

Andrei Keidar et al.

OBESITY SURGERY (2010)

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Article Surgery

Conversion from Sleeve Gastrectomy to Roux-en-Y Gastric Bypass-Indications and Outcome

Felix B. Langer et al.

OBESITY SURGERY (2010)

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Article Surgery

Endoscopic repair of gastrogastric fistula after Roux-en-Y gastric bypass: a less-invasive approach

Gloria Fernandez-Esparrach et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2010)

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Article Gastroenterology & Hepatology

Gastroesophageal reflux disease and severe obesity: Fundoplication or bariatric surgery?

Vivek N. Prachand et al.

WORLD JOURNAL OF GASTROENTEROLOGY (2010)

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Article Surgery

Dysfunction of the lower esophageal sphincter and dysmotility of the tubular esophagus in morbidly obese patients

M. A. Kueper et al.

OBESITY SURGERY (2009)

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Article Surgery

Transient Lower Esophageal Sphincter Relaxation in Morbid Obesity

J. H. Schneider et al.

OBESITY SURGERY (2009)

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Article Gastroenterology & Hepatology

A systematic review and meta-analysis of the risk of increasing adiposity on Barrett's esophagus

Michael B. Cook et al.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2008)

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Article Gastroenterology & Hepatology

Clinical experience of transoral suturing for an endoluminal vertical gastroplasty: 1-year follow-up in 64 patients

Roberto Fogel et al.

GASTROINTESTINAL ENDOSCOPY (2008)

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Article Surgery

Who will fail laparoscopic Nissen fundoplication? Preoperative prediction of long-term outcomes

Craig B. Morgenthal et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2007)

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Article Surgery

Gastro-esophageal reflux and esophageal motility disorders in morbidly obese patients before and after bariatric surgery

Mohamed Merrouche et al.

OBESITY SURGERY (2007)

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Article Gastroenterology & Hepatology

Abdominal obesity, ethnicity and gastro-oesophageal reflux symptoms

Douglas A. Corley et al.

GUT (2007)

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Article Gastroenterology & Hepatology

Obesity is associated with increased transient lower esophageal sphincter relaxation

Justin Che-Yuen Wu et al.

GASTROENTEROLOGY (2007)

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Article Surgery

Anatomic findings and outcomes after antireflux procedures in morbidly obese patients undergoing laparoscopic conversion to Roux-en-Y gastric bypass

Todd A. Kellogg et al.

SURGERY FOR OBESITY AND RELATED DISEASES (2007)

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Article Surgery

Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years

Nicolas V. Christou et al.

ANNALS OF SURGERY (2006)

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Article Gastroenterology & Hepatology

Obesity: A challenge to esophagogastric junction integrity

JE Pandolfino et al.

GASTROENTEROLOGY (2006)

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Article Gastroenterology & Hepatology

Association between weight gain and symptoms of gastroesophageal reflux in the general population

E Rey et al.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2006)

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Article Gastroenterology & Hepatology

Lifestyle factors and symptoms of gastro-oesophageal reflux - a population-based study

M Nocon et al.

ALIMENTARY PHARMACOLOGY & THERAPEUTICS (2006)

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Review Medicine, General & Internal

Meta-analysis: Obesity and the risk for gastroesophageal reflux disease and its complications

H Hampel et al.

ANNALS OF INTERNAL MEDICINE (2005)

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Article Surgery

The proximal gastric pouch invariably contains acid-producing parietal cells in Roux-en-Y gastric bypass

H Siilin et al.

OBESITY SURGERY (2005)

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Article Gastroenterology & Hepatology

Obesity is an independent risk factor for GERD symptoms and erosive esophagitis

HB El-Serag et al.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2005)

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Article Surgery

Stricture dilation after laparoscopic Roux-en-Y gastric bypass

TR Rossi et al.

AMERICAN JOURNAL OF SURGERY (2005)

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Article Gastroenterology & Hepatology

Relationship between body mass index, diet, exercise and gastro-oesophageal reflux symptoms in a community

S Nandurkar et al.

ALIMENTARY PHARMACOLOGY & THERAPEUTICS (2004)

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Article Surgery

Gastro-esophageal reflux and esophageal motility disorders in morbidly obese patients

M Suter et al.

OBESITY SURGERY (2004)

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Article Gastroenterology & Hepatology

Symptoms of gastro-oesophageal reflux: prevalence, severity, duration and associated factors in a Spanish population

M Diaz-Rubio et al.

ALIMENTARY PHARMACOLOGY & THERAPEUTICS (2004)

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Article Medicine, General & Internal

Obesity and estrogen as risk factors for gastroesophageal reflux symptoms

M Nilsson et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2003)

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Article Gastroenterology & Hepatology

Prevalence of extra-oesophageal manifestations in gastro-oesophageal reflux disease: an analysis based on the ProGERD Study

D Jaspersen et al.

ALIMENTARY PHARMACOLOGY & THERAPEUTICS (2003)

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Article Medicine, General & Internal

The epidemiology of gastroesophageal reflux disease

N Shaheen et al.

AMERICAN JOURNAL OF THE MEDICAL SCIENCES (2003)

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Article Surgery

Symptomatic improvement in gastroesophageal reflux disease (GERD) following laparoscopic Roux-en-Y gastric bypass

EE Frezza et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2002)

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Article Surgery

Obesity adversely affects the outcome of antireflux operations

AR Perez et al.

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES (2001)

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Article Gastroenterology & Hepatology

Excess gastroesophageal reflux in patients with hiatus hernia is caused by mechanisms other than transient LES relaxations

MA Van Herwaarden et al.

GASTROENTEROLOGY (2000)

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