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Introduction <p>Sleeve gastrectomy (SG) is the most performed bariatric operation in the United States. While weight loss following SG may lead to resolution of gastroesophageal reflux disease (GERD), it is also possible that SG anatomy can lead to new or worsening GERD. The purpose of our study was to determine if there is an association between a preoperative diagnosis of GERD and 30-day interventions following SG.</p> Methods <p>All adult patients undergoing first-time, elective, minimally invasive SG for morbid obesity from 2015 to 2019 were identified within the American College of Surgeons Metabolic and Bariatric Surgery Quality Improvement Program Database (ACS-MBSAQIP). The association between preoperative GERD and 30-day interventions, including treatment for dehydration, esophagogastroduodenoscopy (EGD), and reoperation, were investigated. To control for confounding variables and ensure a balanced comparison between cohorts, propensity score matching was used.</p> Results <p>A total of 502,995 patients met inclusion criteria; 137,518 (27.3%) had a preoperative diagnosis of GERD. After 1:1 matching, patients with a preoperative diagnosis of GERD were more likely to be evaluated in the emergency department, undergo outpatient treatment of dehydration, and to be admitted to the hospital for treatment of dehydration within 30&#xa0;days of SG.</p> Conclusion <p>A preoperative diagnosis of GERD is associated with more 30-day re-interventions following SG. The sequela of these interventions with respect to the long-term success of SG requires further investigation.</p>

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The association of preexisting gastroesophageal reflux disease with thirty-day intervention following sleeve gastrectomy using the ACS-MBSAQIP database

  • 期刊论文

  • 发表日期：

    2025年11月10日

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  • Grace E. Volk,
  • Joyce Jhang,
  • Jihyun Ma,
  • Ivy N. Haskins

摘要

Introduction

Sleeve gastrectomy (SG) is the most performed bariatric operation in the United States. While weight loss following SG may lead to resolution of gastroesophageal reflux disease (GERD), it is also possible that SG anatomy can lead to new or worsening GERD. The purpose of our study was to determine if there is an association between a preoperative diagnosis of GERD and 30-day interventions following SG.

Methods

All adult patients undergoing first-time, elective, minimally invasive SG for morbid obesity from 2015 to 2019 were identified within the American College of Surgeons Metabolic and Bariatric Surgery Quality Improvement Program Database (ACS-MBSAQIP). The association between preoperative GERD and 30-day interventions, including treatment for dehydration, esophagogastroduodenoscopy (EGD), and reoperation, were investigated. To control for confounding variables and ensure a balanced comparison between cohorts, propensity score matching was used.

Results

A total of 502,995 patients met inclusion criteria; 137,518 (27.3%) had a preoperative diagnosis of GERD. After 1:1 matching, patients with a preoperative diagnosis of GERD were more likely to be evaluated in the emergency department, undergo outpatient treatment of dehydration, and to be admitted to the hospital for treatment of dehydration within 30 days of SG.

Conclusion

A preoperative diagnosis of GERD is associated with more 30-day re-interventions following SG. The sequela of these interventions with respect to the long-term success of SG requires further investigation.