The impact of bariatric surgery on esophageal function

Ann N Y Acad Sci. 2016 Oct;1381(1):98-103. doi: 10.1111/nyas.13107. Epub 2016 Jun 15.

Abstract

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.

Keywords: GERD; bariatric surgery; esophagus; manometry.

Publication types

  • Review

MeSH terms

  • Bariatric Surgery / adverse effects
  • Bariatric Surgery / methods*
  • Esophageal Motility Disorders / diagnosis
  • Esophageal Motility Disorders / physiopathology
  • Esophageal Motility Disorders / surgery
  • Esophagus / physiology*
  • Gastroesophageal Reflux / diagnosis
  • Gastroesophageal Reflux / physiopathology
  • Gastroesophageal Reflux / surgery
  • Humans
  • Obesity / diagnosis
  • Obesity / physiopathology
  • Obesity / surgery*
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology
  • Postoperative Complications / physiopathology
  • Weight Loss / physiology