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    • Is Sleeve gastrectomy a refluxing procedure? Prospective study using Radionucleotide Scintigraphy

    Nader M. Milad (M.D, MSc, MRCS, MBBCh.)1, Ahmed Kandeel(M.D, MSc, MBBCh.)2, Mahasen Abougabal (M.D, MSc, MBBCh.)2, Karim K. Maurice (M.D, MSc, MRCS, MBBCh.)1
    1Department of General Surgery - Faculty of Medicine – Cairo University 2Department of Nuclear Medicine, Faculty of Medicine, Cairo University

    Introduction: Obesity is a worldwide epidemic disease that plays a role in development of Gastroesophageal reflux disease (GERD). Increasing body mass index plays a role in incompetence of gastroesophageal junction. Weight loss and life style modifications reduce the symptoms of GERD. The effect of Sleeve gastrectomy on GERD is not well described. Aim of work: The purpose of this study is to assess the relationship between Laparoscopic Sleeve Gastrectomy (LSG) and GERD. Patients and Methods: The study included 40 morbidly obese patients who were assessed for GERD by radionuclide scintigraphy and validated questionnaire for GERD symptoms preoperatively, then 6 and 12 months after LSG. Results:GERD symptoms resolved in 50% of the patients who were symptomatic preoperatively. 25% of asymptomatic patients developed new GERD symptoms post LSG. There was no significant correlation between BMI changes and development or improvement of symptoms of GERD in the first year postoperatively. Conclusion: LSG can be safely done for morbidly obese patients experiencing preoperative GERD. Keywords: Laparoscopic sleeve gastrectomy - Gastroesophageal reflux disease Radionucleotide Scintigraphy. 

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