Journal article
Diagnostic Criteria for Gastro-esophageal Reflux Following Sleeve Gastrectomy
Gillian Lim, Yazmin Johari, Geraldine Ooi, Julie Playfair, Cheryl Laurie, Geoffrey Hebbard, Wendy Brown, Paul Burton
Obesity Surgery | SPRINGER | Published : 2021
Abstract
BACKGROUND: Gastro-esophageal reflux disease (GERD) post-sleeve gastrectomy (SG) is a controversial issue and diagnostic dilemma. Strong heterogeneity exists in the assessment of reflux post-SG, and better diagnostic tools are needed to characterize symptomatic reflux. We aimed to determine the discriminant factors of symptomatic reflux and establish diagnostic thresholds for GERD following SG. MATERIALS AND METHODS: Patients post-SG were categorized into asymptomatic and symptomatic cohorts and completed validated symptom questionnaires. All patients underwent stationary esophageal manometry and 24-h ambulatory pH monitoring. Univariate and multivariate analyses were conducted to determine ..
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