Gastroesophageal Reflux Disease and Morbid Obesity: Is There a Relation?

被引:17
作者
Fisichella, Piero M. [1 ]
Patti, Marco G. [2 ]
机构
[1] Loyola Univ, Med Ctr, Stritch Sch Med, Dept Surg, Maywood, IL 60153 USA
[2] Univ Chicago, Dept Surg, Chicago, IL 60637 USA
关键词
LAPAROSCOPIC NISSEN FUNDOPLICATION; LOWER ESOPHAGEAL SPHINCTER; BRISTOL HELICOBACTER PROJECT; BODY-MASS INDEX; BARIATRIC SURGERY; GASTRIC BYPASS; MOTILITY DISORDERS; BARRETTS-ESOPHAGUS; ACID EXPOSURE; RISK;
D O I
10.1007/s00268-009-0045-z
中图分类号
R61 [外科手术学];
学科分类号
摘要
Gastroesophageal reflux disease (GERD) is highly prevalent in morbidly obese patients, and a high body mass index (BMI) is a risk factor for the development of GERD. However, the mechanism by which the BMI affects esophageal acid exposure is not completely understood. Although many advances have been made in the understanding of the pathophysiology of GERD, many aspects of the pathophysiology of this disease in morbidly obese patients remain unclear. The following review describes the current evidence linking esophageal reflux to obesity, covering the pathophysiology of the disease and the implications for treatment of GERD in the obese patient.
引用
收藏
页码:2034 / 2038
页数:5
相关论文
共 35 条
[21]   Who will fail laparoscopic Nissen fundoplication? Preoperative prediction of long-term outcomes [J].
Morgenthal, Craig B. ;
Lin, Edward ;
Shane, Matthew D. ;
Hunter, John G. ;
Smith, C. Daniel .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2007, 21 (11) :1978-1984
[22]   Relationship between body mass and gastro-oesophageal reflux symptoms: The Bristol Helicobacter Project [J].
Murray, L ;
Johnston, B ;
Lane, A ;
Harvey, I ;
Donovan, J ;
Nair, P ;
Harvey, R .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2003, 32 (04) :645-650
[23]   Prevalence of overweight and obesity in the United States, 1999-2004 [J].
Ogden, CL ;
Carroll, MD ;
Curtin, LR ;
McDowell, MA ;
Tabak, CJ ;
Flegal, KM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 295 (13) :1549-1555
[24]   Obesity: A challenge to esophagogastric junction integrity [J].
Pandolfino, JE ;
El-Serag, HB ;
Zhang, Q ;
Shah, N ;
Ghosh, SK ;
Kahrilas, PJ .
GASTROENTEROLOGY, 2006, 130 (03) :639-649
[25]   Comparison of objective outcomes following laparoscopic Nissen fundoplication vs laparoscopic gastric bypass in the morbidly obese with heartburn [J].
Patterson, EJ ;
Davis, DG ;
Khajanchee, Y ;
Swanström, LL .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2003, 17 (10) :1561-1565
[26]   Hiatal hernia size affects lower esophageal sphincter function, esophageal acid exposure, and the degree of mucosal injury [J].
Patti, MG ;
Goldberg, HI ;
Arcerito, M ;
Bortolasi, L ;
Tong, J ;
Way, LW .
AMERICAN JOURNAL OF SURGERY, 1996, 171 (01) :182-186
[27]   Obesity adversely affects the outcome of antireflux operations [J].
Perez, AR ;
Moncure, AC ;
Rattner, DW .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 2001, 15 (09) :986-989
[28]   Barrett esophagus - Prevalence of central adiposity, metabolic syndrome, and a proinflammatory state [J].
Ryan, Aoife M. ;
Healy, Laura A. ;
Power, Derek G. ;
Byrne, Miriam ;
Murphy, Sinead ;
Byrne, Patrick J. ;
Kelleher, Dermot ;
Reynolds, John V. .
ANNALS OF SURGERY, 2008, 247 (06) :909-915
[29]   The association of body mass index with Barrett's oesophagus [J].
Stein, DJ ;
El-Serag, HB ;
Kuczynski, J ;
Kramer, JR ;
Sampliner, RE .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2005, 22 (10) :1005-1010
[30]   Effects of increased intra-abdominal pressure in severe obesity [J].
Sugerman, HJ .
SURGICAL CLINICS OF NORTH AMERICA, 2001, 81 (05) :1063-+