Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis

Antônio Benincá Albuquerque; André Luca Boeira Rovani; Bruna Schmitt Puhl; Carlos Roberto Giacometti; Eduardo Dombroski da Silva; Elisa Estivalete Jablonski; Fernanda Marcante Carlotto; Fernanda Tisott Burtet; Jaline Ribeiro da Silva; Larissa Belke; Carlos Augusto Scussel Madalosso; Daniel Navarini

doi:10.22491/2357-9730.91178

Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis

Authors

Antônio Benincá Albuquerque 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
André Luca Boeira Rovani 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
Bruna Schmitt Puhl 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
Carlos Roberto Giacometti 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
Eduardo Dombroski da Silva 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
Elisa Estivalete Jablonski 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
Fernanda Marcante Carlotto 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
Fernanda Tisott Burtet 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
Jaline Ribeiro da Silva 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
Larissa Belke 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil.
Carlos Augusto Scussel Madalosso 2 Departamento de Cirurgia, Hospital São Vicente de Paulo (HSVP). Passo Fundo, Rio Grande do Sul, Brasil. 3 Departamento de Cirurgia, Clínica Gastrobese. Passo Fundo, Rio Grande do Sul, Brasil.
Daniel Navarini 1 Faculdade de Medicina, Universidade de Passo Fundo (UPF). Passo Fundo, Rio Grande do Sul, Brasil. 2 Departamento de Cirurgia, Hospital São Vicente de Paulo (HSVP). Passo Fundo, Rio Grande do Sul, Brasil. 3 Departamento de Cirurgia, Clínica Gastrobese. Passo Fundo, Rio Grande do Sul, Brasil.

DOI:

https://doi.org/10.22491/2357-9730.91178

Keywords:

Erosive esophagitis, GERD, bariatric surgery, obesity, comorbidity

Abstract

Background: Gastroesophageal reflux disease (GERD) is a multifactorial disease associated with environmental and genetic factors. Obesity is among the risk factors for its development, which also correlates with an increase in severity of clinical presentation and a higher incidence of complications associated with reflux.

Aims: To evaluate the impact of Roux-en-Y gastric bypass on the control of erosive esophagitis and metabolic and anthropometric parameters related to obesity.

Methods: This historical cohort study included a sample of 249 patients who had undergone bariatric surgery using the Roux-en-Y gastric bypass technique at the Hospital São Vicente de Paulo, Passo Fundo, southern Brazil, from January 2014 to December 2015. Results: Of 249 patients, 77.9% (190 patients) were female and the mean age was 38 years. The occurrence of reflux esophagitis was 81.1% (196 patients) in the preoperative period and 31.3% (75 patients) in the postoperative period. With regard to bariatric treatment response to control moderate and severe esophagitis (grades B, C and D), there was a reduction in prevalence from 62 (25%) to 12 (5%) patients (p<0.05). Conclusion: Bariatric surgery using the Roux-en-Y gastric bypass technique is effective in the control of reflux esophagitis. Regression is observed mainly in cases of moderate and severe esophagitis.

Keywords: Erosive esophagitis; GERD; bariatric surgery; obesity; comorbidity

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2019-08-20

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Albuquerque AB, Rovani ALB, Puhl BS, Giacometti CR, da Silva ED, Jablonski EE, et al. Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis. Clin Biomed Res [Internet]. 2019 Aug. 20 [cited 2025 Aug. 11];39(2). Available from: https://seer.ufrgs.br/index.php/hcpa/article/view/91178

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Vol. 39 No. 2 (2019): Clinical and Biomedical Research

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Effect of Roux-en-Y gastric bypass in the control of erosive esophagitis

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