alexa Changes in the Anatomy and Physiology of the Distal Esophagus and Stomach after Sleeve Gastrectomy
ISSN: 2165-7904

Journal of Obesity & Weight Loss Therapy
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Review Article

Changes in the Anatomy and Physiology of the Distal Esophagus and Stomach after Sleeve Gastrectomy

Attila Csendes* and Italo Braghetto
Department of Surgery, University Hospital, University of Chile, Santiago, Chileia
Corresponding Author : Attila Csendes, MD
Department of Surgery
Hospital J.J. Aguirre
Santos Dumont 999
Santiago, Chile
Tel: 56 2-2978-8000
E-mail: [email protected] hcuch.cl
Received January 12, 2016; Accepted January 21, 2016; Published January 24, 2016
Citation: Csendes A, Braghetto I (2016) Changes in the Anatomy and Physiology of the Distal Esophagus and Stomach after Sleeve Gastrectomy. J Obes Weight Loss Ther 6:297. doi:10.4172/2165-7904.1000297
Copyright: © 2016 Csendes A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Aim: Sleeve gastrectomy is one of the most popular surgical procedures for patients with obesity. Its performance produces several pathophysiological changes at the esophago-gastric junction, gastric acid secretion, emptying and motility. Purpose: To review all pathophysiological changes of the distal esophagus and stomach after the resection of 80% of the stomach during sleeve gastrectomy. Material and Methods: Review of all publications concerning the measurements of lower esophageal sphincter after sleeve gastrectomy, as well as acid reflux, gastric motility and gastric emptying. Results: The section of some portion of the sling fibers produces dilatation of the cardia and development of pathologic acid reflux into the distal esophagus. The great majority of reports dealing with 24 h pH measurements or impedanciometry report severe acid and non-acid reflux. Gastric acid secretion is greatly diminished after sleeve gastrectomy in about 80% but the residual acid secretion is at least 20 times greater than after gastric bypass. Gastric motility and electric activity is also compromised due to resection of most of the fundus and the gastric pacemaker located at the greater curvature. As a consequence, gastric emptying of liquids and solids are greatly enhanced. Then a new swallow of food impacts against this elevated pressure which may overcome the hypotensive lower esophageal sphincter and pathologic reflux may occur into the esophagus. Conclusion: Sleeve gastrectomy is an operation which may produce severe pathologic reflux of acid, as

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

nursing[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords