The results of a large US analysis suggest that patients who are about to undergo bariatric surgery may be better off having a gastric by-pass (GB) than a sleeve gastrectomy if they also suffer from heartburn, reports [s]News-Medical[/s]. A review of more than 38,000 bariatric surgery cases found that laparoscopic sleeve gastrectomy (LSG) did not relieve heartburn and may actually have caused gastrooesophageal reflux disease (GERD) in some patients. In contrast, Roux-en-Y GB was associated with GERD relief. LSG was also associated with reduced weight loss if GERD was present. ‘The two operations were found to have markedly different effects on GERD,’ say the study investigators from the [b]Madigan Army Medical Centre in Fort Lewis[/b], in their report in [s]JAMA Surgery[/s].
[link url=http://www.news-medical.net/news/20140228/Gastric-bypass-better-than-gastrectomy-for-GERD-relief.aspx]Full News-Medical report[/link]
[link url=http://archsurg.jamanetwork.com/article.aspx?articleid=1818822]JAMA Surgery abstract[/link]