*Corresponding author:
Zabihi-Mahmoudabadi H,
1Department of Surgery, Sina Hospital, School of Medicine, Tehran
University of Medical Sciences, Iran 2 Department of Cardiology, Imam
Khomeini Hospital Complex, Tehran University of Medical Science, Iran
- Abstract
1.1. Introduction:
This study aims to assess the impact of laparoscopic gastric plication (LGP)
combined with anti-reflux sutures on the occurrence of complications
following surgery and the degree to which GERD symptoms in obese
individuals worsen or improve.
1.2. Methods:
The effectiveness of LGP combined with anti-reflux sutures in preventing
or alleviating GERD symptoms in obese people was evaluated in this
prospective trial. After surgery, all patients had follow-ups at the one- and
six-month marks to assess the severity and progression of their GERD
symptoms.
1.3. Results:
105 patients from group A (case group or with anti-reflux suture) and 105
patients from group B (control group or without anti-reflux suture) were
included out of the 210 patients total. In the first postoperative month,
there was no significant difference in the incidence of GERD between
the two groups (P=0.067). However, by the sixth follow-up month, the
intervention group’s incidence of GERD was significantly lower than that
of the other group (P=0.001).
1.4. Conclusion:
It seems that LGP associated with the anti-reflux suture is generally
effective and safe in reducing the risk of incidence or worsening of GERD
and weight loss. - Keywords:
Gastroesophageal reflux disease (GERD); Laparoscopic Gastric Plication
(LGP); Anti-reflux suture; Bariatric surgery; Morbid obese
Citation:
Zabihi-Mahmoudabadi H. The Impact of Anti-Reflux Suture on the Rate
of Reflux Following Laparoscopic Gastric Surgery. Journal of Clinical
Cases 2024.
