Lower Esophageal Sphincter is Weaker after Sleeve Gastrectomy: Its Clinical Consequences - Abstract
Sleeve gastrectomy (SG) has been validated as an effective stand - alone bariatric procedure to treat patients with severe and morbid obesity. There are concerns about the development of De Novo gastro esophageal reflux disease after Sleeve Gastrectomy (SG) can occur after. There is no consensus regarding this effect, with several publications showing reduction in Reflux Symptoms and many other showing a significant increase in erosive esophagitis, Reflux Symptoms and esophageal exposure to acid after surgery. There are pathophysiological mechanisms involved as cause of these findings, mainly defective lower esophageal sphincter (LES). In this article we shows the current knowledge about the changes observed on the LES and its possible clinical consequences regarding to postoperative symptoms and appearance os erosive esophagitis and Barrett´ esophagus.