Journal of Clinical Cases

The Impact of Anti-Reflux Suture on the Rate of Reflux Following Laparoscopic Gastric Surgery

Talebpour A , Talebpour M , Vahidi H , Najjari K and Zabihi-Mahmoudabadi H

Department of Surgery, Sina Hospital, School of Medicine, Tehran University of Medical Sciences, Iran
Department of Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Science, Iran

Corresponding Author: Zabihi-Mahmoudabadi H

ABSTRACT

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.

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.

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).

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