Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy

Autores
Borbely, Yves; Bouvy, Nicole; Schulz, Henning; Rodriguez, Leonardo Antonio; Ortiz, Camilo; Nieponice, Alejandro
Año de publicación
2019
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Laparoscopic sleeve gastrectomy (LSG) can result in de novo and worsen preexisting gastroesophageal reflux disease (GERD). Post-LSG patients with GERD refractory to proton pump inhibitors (PPI) usually undergo more invasive, anatomy-altering Roux-en-Y gastric bypass surgery. Lower esophageal sphincter (LES) electrical stimulation (ES) preserves the anatomy and has been shown to improve outcomes in GERD patients. Objective: To evaluate the safety and efficacy of LES-ES in post-LSG patients with GERD not controlled with maximal PPI therapy. Setting: Prospective, international, multicenter registry. Methods: Patients with LSG-associated GERD partially responsive to PPI underwent LES-ES. GERD outcomes pre- and poststimulation were evaluated based on quality of life, esophageal acid exposure (after 6–12 mo), and PPI use. Results: Seventeen patients (11 female, 65%), treated at 6 centers between May 2014 and October, 2016 with a median follow-up of 12 months (range 6–24), received LES-ES. Median age was 48.6 years (interquartile range, 40.5–56), median body mass index 31.7 kg/m2 (27.9–39.3). All patients were on at least daily PPI preoperatively; at last follow-up, 7 (41%) were completely off PPI, 5 (29%) took PPI on an intermittent basis, and 5 (29%) were on single-dose PPI. Median GERD–health-related quality of life scores improved from 34 (on-PPI, 25–41) at baseline to 9 (6–13) at last follow-up (off-PPI, P<.001). Percentage of time with esophageal pH<4 improved from 13.2% (3.7–30.7) to 5.8% (1.1–54.4), P =.01. Conclusion: LES-ES in post-LSG patients suffering from symptomatic, PPI-refractory GERD resulted in significant improvement of GERD-symptoms, esophageal acid exposure, and need for PPI. Preserving the post-LSG anatomy, it offers a valid option for patients unable or unwilling to undergo Roux-en-Y gastric bypass surgery.
Fil: Borbely, Yves. University of Bern; Suiza
Fil: Bouvy, Nicole. Maastricht University; Países Bajos
Fil: Schulz, Henning. No especifíca;
Fil: Rodriguez, Leonardo Antonio. No especifíca;
Fil: Ortiz, Camilo. Hospital El Tunal; Colombia
Fil: Nieponice, Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; Argentina
Materia
BARIATRIC SURGERY
ELECTRIC STIMULATION THERAPY
ESOPHAGEAL PH
GASTROESOPHAGEAL REFLUX
LOWER ESOPHAGEAL SPHINCTER
POSTGASTRECTOMY SYNDROMES
PROSPECTIVE STUDIES
PROTON PUMP INHIBITORS
QUALITY OF LIFE
SLEEVE GASTRECTOMY
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/115971

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oai_identifier_str oai:ri.conicet.gov.ar:11336/115971
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomyBorbely, YvesBouvy, NicoleSchulz, HenningRodriguez, Leonardo AntonioOrtiz, CamiloNieponice, AlejandroBARIATRIC SURGERYELECTRIC STIMULATION THERAPYESOPHAGEAL PHGASTROESOPHAGEAL REFLUXLOWER ESOPHAGEAL SPHINCTERPOSTGASTRECTOMY SYNDROMESPROSPECTIVE STUDIESPROTON PUMP INHIBITORSQUALITY OF LIFESLEEVE GASTRECTOMYhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3https://purl.org/becyt/ford/3.1https://purl.org/becyt/ford/3Background: Laparoscopic sleeve gastrectomy (LSG) can result in de novo and worsen preexisting gastroesophageal reflux disease (GERD). Post-LSG patients with GERD refractory to proton pump inhibitors (PPI) usually undergo more invasive, anatomy-altering Roux-en-Y gastric bypass surgery. Lower esophageal sphincter (LES) electrical stimulation (ES) preserves the anatomy and has been shown to improve outcomes in GERD patients. Objective: To evaluate the safety and efficacy of LES-ES in post-LSG patients with GERD not controlled with maximal PPI therapy. Setting: Prospective, international, multicenter registry. Methods: Patients with LSG-associated GERD partially responsive to PPI underwent LES-ES. GERD outcomes pre- and poststimulation were evaluated based on quality of life, esophageal acid exposure (after 6–12 mo), and PPI use. Results: Seventeen patients (11 female, 65%), treated at 6 centers between May 2014 and October, 2016 with a median follow-up of 12 months (range 6–24), received LES-ES. Median age was 48.6 years (interquartile range, 40.5–56), median body mass index 31.7 kg/m2 (27.9–39.3). All patients were on at least daily PPI preoperatively; at last follow-up, 7 (41%) were completely off PPI, 5 (29%) took PPI on an intermittent basis, and 5 (29%) were on single-dose PPI. Median GERD–health-related quality of life scores improved from 34 (on-PPI, 25–41) at baseline to 9 (6–13) at last follow-up (off-PPI, P<.001). Percentage of time with esophageal pH<4 improved from 13.2% (3.7–30.7) to 5.8% (1.1–54.4), P =.01. Conclusion: LES-ES in post-LSG patients suffering from symptomatic, PPI-refractory GERD resulted in significant improvement of GERD-symptoms, esophageal acid exposure, and need for PPI. Preserving the post-LSG anatomy, it offers a valid option for patients unable or unwilling to undergo Roux-en-Y gastric bypass surgery.Fil: Borbely, Yves. University of Bern; SuizaFil: Bouvy, Nicole. Maastricht University; Países BajosFil: Schulz, Henning. No especifíca;Fil: Rodriguez, Leonardo Antonio. No especifíca;Fil: Ortiz, Camilo. Hospital El Tunal; ColombiaFil: Nieponice, Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; ArgentinaElsevier Science Inc2019-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/115971Borbely, Yves; Bouvy, Nicole; Schulz, Henning; Rodriguez, Leonardo Antonio; Ortiz, Camilo; et al.; Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy; Elsevier Science Inc; Surgery for Obesity and Related Diseases; 14; 5; 5-2019; 611-6151550-7289CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.soard.2018.02.006info:eu-repo/semantics/altIdentifier/url/https://www.soard.org/article/S1550-7289(18)30085-6/fulltextinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:05:08Zoai:ri.conicet.gov.ar:11336/115971instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:05:08.549CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy
title Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy
spellingShingle Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy
Borbely, Yves
BARIATRIC SURGERY
ELECTRIC STIMULATION THERAPY
ESOPHAGEAL PH
GASTROESOPHAGEAL REFLUX
LOWER ESOPHAGEAL SPHINCTER
POSTGASTRECTOMY SYNDROMES
PROSPECTIVE STUDIES
PROTON PUMP INHIBITORS
QUALITY OF LIFE
SLEEVE GASTRECTOMY
title_short Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy
title_full Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy
title_fullStr Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy
title_full_unstemmed Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy
title_sort Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy
dc.creator.none.fl_str_mv Borbely, Yves
Bouvy, Nicole
Schulz, Henning
Rodriguez, Leonardo Antonio
Ortiz, Camilo
Nieponice, Alejandro
author Borbely, Yves
author_facet Borbely, Yves
Bouvy, Nicole
Schulz, Henning
Rodriguez, Leonardo Antonio
Ortiz, Camilo
Nieponice, Alejandro
author_role author
author2 Bouvy, Nicole
Schulz, Henning
Rodriguez, Leonardo Antonio
Ortiz, Camilo
Nieponice, Alejandro
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv BARIATRIC SURGERY
ELECTRIC STIMULATION THERAPY
ESOPHAGEAL PH
GASTROESOPHAGEAL REFLUX
LOWER ESOPHAGEAL SPHINCTER
POSTGASTRECTOMY SYNDROMES
PROSPECTIVE STUDIES
PROTON PUMP INHIBITORS
QUALITY OF LIFE
SLEEVE GASTRECTOMY
topic BARIATRIC SURGERY
ELECTRIC STIMULATION THERAPY
ESOPHAGEAL PH
GASTROESOPHAGEAL REFLUX
LOWER ESOPHAGEAL SPHINCTER
POSTGASTRECTOMY SYNDROMES
PROSPECTIVE STUDIES
PROTON PUMP INHIBITORS
QUALITY OF LIFE
SLEEVE GASTRECTOMY
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
https://purl.org/becyt/ford/3.1
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Laparoscopic sleeve gastrectomy (LSG) can result in de novo and worsen preexisting gastroesophageal reflux disease (GERD). Post-LSG patients with GERD refractory to proton pump inhibitors (PPI) usually undergo more invasive, anatomy-altering Roux-en-Y gastric bypass surgery. Lower esophageal sphincter (LES) electrical stimulation (ES) preserves the anatomy and has been shown to improve outcomes in GERD patients. Objective: To evaluate the safety and efficacy of LES-ES in post-LSG patients with GERD not controlled with maximal PPI therapy. Setting: Prospective, international, multicenter registry. Methods: Patients with LSG-associated GERD partially responsive to PPI underwent LES-ES. GERD outcomes pre- and poststimulation were evaluated based on quality of life, esophageal acid exposure (after 6–12 mo), and PPI use. Results: Seventeen patients (11 female, 65%), treated at 6 centers between May 2014 and October, 2016 with a median follow-up of 12 months (range 6–24), received LES-ES. Median age was 48.6 years (interquartile range, 40.5–56), median body mass index 31.7 kg/m2 (27.9–39.3). All patients were on at least daily PPI preoperatively; at last follow-up, 7 (41%) were completely off PPI, 5 (29%) took PPI on an intermittent basis, and 5 (29%) were on single-dose PPI. Median GERD–health-related quality of life scores improved from 34 (on-PPI, 25–41) at baseline to 9 (6–13) at last follow-up (off-PPI, P<.001). Percentage of time with esophageal pH<4 improved from 13.2% (3.7–30.7) to 5.8% (1.1–54.4), P =.01. Conclusion: LES-ES in post-LSG patients suffering from symptomatic, PPI-refractory GERD resulted in significant improvement of GERD-symptoms, esophageal acid exposure, and need for PPI. Preserving the post-LSG anatomy, it offers a valid option for patients unable or unwilling to undergo Roux-en-Y gastric bypass surgery.
Fil: Borbely, Yves. University of Bern; Suiza
Fil: Bouvy, Nicole. Maastricht University; Países Bajos
Fil: Schulz, Henning. No especifíca;
Fil: Rodriguez, Leonardo Antonio. No especifíca;
Fil: Ortiz, Camilo. Hospital El Tunal; Colombia
Fil: Nieponice, Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; Argentina
description Background: Laparoscopic sleeve gastrectomy (LSG) can result in de novo and worsen preexisting gastroesophageal reflux disease (GERD). Post-LSG patients with GERD refractory to proton pump inhibitors (PPI) usually undergo more invasive, anatomy-altering Roux-en-Y gastric bypass surgery. Lower esophageal sphincter (LES) electrical stimulation (ES) preserves the anatomy and has been shown to improve outcomes in GERD patients. Objective: To evaluate the safety and efficacy of LES-ES in post-LSG patients with GERD not controlled with maximal PPI therapy. Setting: Prospective, international, multicenter registry. Methods: Patients with LSG-associated GERD partially responsive to PPI underwent LES-ES. GERD outcomes pre- and poststimulation were evaluated based on quality of life, esophageal acid exposure (after 6–12 mo), and PPI use. Results: Seventeen patients (11 female, 65%), treated at 6 centers between May 2014 and October, 2016 with a median follow-up of 12 months (range 6–24), received LES-ES. Median age was 48.6 years (interquartile range, 40.5–56), median body mass index 31.7 kg/m2 (27.9–39.3). All patients were on at least daily PPI preoperatively; at last follow-up, 7 (41%) were completely off PPI, 5 (29%) took PPI on an intermittent basis, and 5 (29%) were on single-dose PPI. Median GERD–health-related quality of life scores improved from 34 (on-PPI, 25–41) at baseline to 9 (6–13) at last follow-up (off-PPI, P<.001). Percentage of time with esophageal pH<4 improved from 13.2% (3.7–30.7) to 5.8% (1.1–54.4), P =.01. Conclusion: LES-ES in post-LSG patients suffering from symptomatic, PPI-refractory GERD resulted in significant improvement of GERD-symptoms, esophageal acid exposure, and need for PPI. Preserving the post-LSG anatomy, it offers a valid option for patients unable or unwilling to undergo Roux-en-Y gastric bypass surgery.
publishDate 2019
dc.date.none.fl_str_mv 2019-05
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/115971
Borbely, Yves; Bouvy, Nicole; Schulz, Henning; Rodriguez, Leonardo Antonio; Ortiz, Camilo; et al.; Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy; Elsevier Science Inc; Surgery for Obesity and Related Diseases; 14; 5; 5-2019; 611-615
1550-7289
CONICET Digital
CONICET
url http://hdl.handle.net/11336/115971
identifier_str_mv Borbely, Yves; Bouvy, Nicole; Schulz, Henning; Rodriguez, Leonardo Antonio; Ortiz, Camilo; et al.; Electrical stimulation of the lower esophageal sphincter to address gastroesophageal reflux disease after sleeve gastrectomy; Elsevier Science Inc; Surgery for Obesity and Related Diseases; 14; 5; 5-2019; 611-615
1550-7289
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1016/j.soard.2018.02.006
info:eu-repo/semantics/altIdentifier/url/https://www.soard.org/article/S1550-7289(18)30085-6/fulltext
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier Science Inc
publisher.none.fl_str_mv Elsevier Science Inc
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432