Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature

Background and Objectives: The rising numbers of laparoscopic sleeve gastrectomy (LSG) procedures now being performed worldwide will likely be followed by an increasing number of patients experiencing gastro-esophageal reflux disease (GERD). The purpose of the current review was to analyze in terms...

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Autores: Carandina, Sergio|||0000-0003-0651-5606, Zulian, Viola, Nedelcu, Anamaria, Danan, Marc, Vilallonga, Ramon|||0000-0001-9333-2765, Nocca, David, Nedelcu, Marius
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:239859
Acceso en línea:https://ddd.uab.cat/record/239859
https://dx.doi.org/urn:doi:10.3390/medicina57040392
Access Level:acceso abierto
Palabra clave:Sleeve
GERD
Fundoplication
Nissen
Rossetti
Dor
Complications
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spelling Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of LiteratureCarandina, Sergio|||0000-0003-0651-5606Zulian, ViolaNedelcu, AnamariaDanan, MarcVilallonga, Ramon|||0000-0001-9333-2765Nocca, DavidNedelcu, MariusSleeveGERDFundoplicationNissenRossettiDorComplicationsBackground and Objectives: The rising numbers of laparoscopic sleeve gastrectomy (LSG) procedures now being performed worldwide will likely be followed by an increasing number of patients experiencing gastro-esophageal reflux disease (GERD). The purpose of the current review was to analyze in terms of safety different techniques of fundoplication used to treat GERD associated with LSG. Methods : An online search was performed in PubMed/MEDLINE in December 2020 to identify articles reporting LSG and fundoplication. The following term combination was used: (sleeve, fundoplication), (sleeve, Nissen), (sleeve, Rossetti), (sleeve, Toupet) and (sleeve, Dor). The extracted information included details of the methods (e.g., retrospective case series), demographic characteristics (e.g., age, gender), clinical characteristics, number of patients, rate of conversion, and postoperative outcomes. Results : A total of 154 studies were identified and after an assessment of title according to our exclusion criteria, 116 articles were removed. Of the 38 studies analyzed for full content review, a total of seven primary studies (487 patients) were identified with all inclusion criteria. Analyzing the different types of fundoplication used, we have identified: 236 cases of Nissen-Sleeve, 220 cases with modified Rossetti fundoplication, 31 cases of Dor fundoplication, and no case of Toupet fundoplication. The overall postoperative complication rate was 9.4%, with the most common reported complication being gastric perforation, 15 cases-3.1%. The second most common complication was bleeding identified in nine cases (1.8%) followed by gastric stenosis in six cases (1.2%). The mortality was nil. Conclusions : Different types of fundoplication associated with LSG appear to be a safe surgical technique with an acceptable early postoperative complication rate. Any type of fundoplication associated with LSG to decrease GERD should be evaluated cautiously while prospective clinical randomized trials are needed.Universitat Autònoma de Barcelona 22021-01-0120212021-01-01Article de revisióhttp://purl.org/coar/resource_type/c_dcae04bcVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/239859https://dx.doi.org/urn:doi:10.3390/medicina57040392reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2398592026-06-06T12:50:31Z
dc.title.none.fl_str_mv Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature
title Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature
spellingShingle Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature
Carandina, Sergio|||0000-0003-0651-5606
Sleeve
GERD
Fundoplication
Nissen
Rossetti
Dor
Complications
title_short Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature
title_full Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature
title_fullStr Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature
title_full_unstemmed Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature
title_sort Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature
dc.creator.none.fl_str_mv Carandina, Sergio|||0000-0003-0651-5606
Zulian, Viola
Nedelcu, Anamaria
Danan, Marc
Vilallonga, Ramon|||0000-0001-9333-2765
Nocca, David
Nedelcu, Marius
author Carandina, Sergio|||0000-0003-0651-5606
author_facet Carandina, Sergio|||0000-0003-0651-5606
Zulian, Viola
Nedelcu, Anamaria
Danan, Marc
Vilallonga, Ramon|||0000-0001-9333-2765
Nocca, David
Nedelcu, Marius
author_role author
author2 Zulian, Viola
Nedelcu, Anamaria
Danan, Marc
Vilallonga, Ramon|||0000-0001-9333-2765
Nocca, David
Nedelcu, Marius
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Sleeve
GERD
Fundoplication
Nissen
Rossetti
Dor
Complications
topic Sleeve
GERD
Fundoplication
Nissen
Rossetti
Dor
Complications
description Background and Objectives: The rising numbers of laparoscopic sleeve gastrectomy (LSG) procedures now being performed worldwide will likely be followed by an increasing number of patients experiencing gastro-esophageal reflux disease (GERD). The purpose of the current review was to analyze in terms of safety different techniques of fundoplication used to treat GERD associated with LSG. Methods : An online search was performed in PubMed/MEDLINE in December 2020 to identify articles reporting LSG and fundoplication. The following term combination was used: (sleeve, fundoplication), (sleeve, Nissen), (sleeve, Rossetti), (sleeve, Toupet) and (sleeve, Dor). The extracted information included details of the methods (e.g., retrospective case series), demographic characteristics (e.g., age, gender), clinical characteristics, number of patients, rate of conversion, and postoperative outcomes. Results : A total of 154 studies were identified and after an assessment of title according to our exclusion criteria, 116 articles were removed. Of the 38 studies analyzed for full content review, a total of seven primary studies (487 patients) were identified with all inclusion criteria. Analyzing the different types of fundoplication used, we have identified: 236 cases of Nissen-Sleeve, 220 cases with modified Rossetti fundoplication, 31 cases of Dor fundoplication, and no case of Toupet fundoplication. The overall postoperative complication rate was 9.4%, with the most common reported complication being gastric perforation, 15 cases-3.1%. The second most common complication was bleeding identified in nine cases (1.8%) followed by gastric stenosis in six cases (1.2%). The mortality was nil. Conclusions : Different types of fundoplication associated with LSG appear to be a safe surgical technique with an acceptable early postoperative complication rate. Any type of fundoplication associated with LSG to decrease GERD should be evaluated cautiously while prospective clinical randomized trials are needed.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article de revisió
http://purl.org/coar/resource_type/c_dcae04bc
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/239859
https://dx.doi.org/urn:doi:10.3390/medicina57040392
url https://ddd.uab.cat/record/239859
https://dx.doi.org/urn:doi:10.3390/medicina57040392
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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