Assessment and management of gastroesophageal reflux disease following bariatric surgery

Surg Obes Relat Dis. 2021 Nov;17(11):1919-1925. doi: 10.1016/j.soard.2021.07.023. Epub 2021 Aug 5.


Gastroesophageal reflux disease (GERD) is a common disease in patients with obesity. The incidence of de novo GERD and the effect of bariatric surgery on patients with pre-existing GERD remain controversial. Management of GERD following bariatric surgery is complicated and can range from medical therapy to non-invasive endoscopic options to invasive surgical options. To address these issues, we performed a systematic review of the literature on the incidence of GERD and the various modalities of managing GERD in patients following bariatric surgery. Given the increased number of laparoscopic sleeve gastrectomy (LSG) procedures being performed and the high incidence of GERD following LSG, bariatric surgeons should be familiar with the options available to manage GERD following LSG as well as other bariatric procedures.

Keywords: Bariatric surgery; Barrett’s esophagus; Gastric bypass; Gastroesophageal reflux disease; Laparoscopic sleeve gastrectomy.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Bariatric Surgery*
  • Gastrectomy
  • Gastric Bypass*
  • Gastroesophageal Reflux* / etiology
  • Gastroesophageal Reflux* / surgery
  • Humans
  • Laparoscopy*
  • Obesity, Morbid* / surgery
  • Postoperative Complications
  • Treatment Outcome