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
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/115971
Ver los metadatos del registro completo
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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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1844613884507324416 |
score |
13.070432 |