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Reflux, Esophagitis, and Chronic Nausea 

Reflux, Esophagitis, and Chronic Nausea
Chapter:
Reflux, Esophagitis, and Chronic Nausea
Author(s):

Maria S. Altieri

, Christopher Gentile

, and Aurora Pryor

DOI:
10.1093/med/9780190608347.003.0032
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date: 28 January 2022

Laparoscopic sleeve gastrectomy (LSG) has emerged as a popular procedure for treatment of morbid obesity, with weight loss comparable to that with other procedures and with a relatively low number of postoperative complications. The benefits of LSG include its technical simplicity and its proven efficacy for reversal of obesity-related comorbidities. The association between gastroesophageal reflux disease (GERD) and LSG has been controversial. After LSG, GERD is described as either de novo GERD or an exacerbation of previous symptoms. This chapter reviews the current literature on reflux, esophagitis, and chronic nausea after LSG, as well as the proposed mechanisms responsible for exacerbating or improving GERD after LSG and techniques to minimize reflux after LSG.

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