Perioperative Interventions to Prevent Gastroesophageal Reflux Disease and Marginal Ulcers After Bariatric Surgery — an International Experts’ Survey

Sonja Chiappetta; Christine Stier; Omar M. Ghanem; Barham K. Abu Dayyeh; Ivo Boskoski; Gerhard Prager; Teresa Lamasters; Mohammad Kermansaravi; Edo Aarts; Imran Abbas; Luigi Angrisani; Luciano Antozzi; Tanseer Asghar; Ahmad Bashir; Estuardo Behrens; Mohit Bhandari; Aperna Bhasker; Helmuth Billy; Miguel-A. Carbajo; Jean Marc Chevallier; Ricardo Cohen; Jerome Dargent; Maurizio De Luca; Eduardo De Moura; Bruno Dillemans; Nicola Di Lorenzo; Mohamad Hayssam El Fawal; Daniel Moritz Felsenreich; Sigal Fishman; Michael Gagner; Manoel Galvao; Khaled Gawdat; Tikfu Gee; Bijan Ghavami; Ashraf Haddad; Andres Hanssen; Miguel F. Herrera; Kelvin Higa; Jacques M Himpens; Kazunori Kasama; Radwan Kassir; Amir Khan; Nesreen Khidir; Mousa Khoursheed; Haris Khwaja; Lillian Kow; Matt Kroh; Kuldeepak Singh Kular; Panagiotis Lainas; Muffazal Lakdawala; Laurant Layani; Ken Loi; Kamal Mahawar; Tarek Mahdy; Tom Mala; Karl Miller; Mario Musella; Martina Musella; Alexander Neymark; Abdelrahman Nimeri; David Nocca; Patrick Noel; Taryel Omarov; Mariano Palermo; Chetan Parmar; Abdolreza Pazouki; Luis Poggi; Tigran Poghosyan; Liza Pompa; Jaime Ponce; Dimitri Pournaras; Arun Prasad; Ayaad Alqahtani; Almino Ramos; Masoud Rezvani; Karl Rheinwalt; Rui Ribeiro; Adriana Rotundo; Elena Ruiz-Ucar; Bassem Safadi; Nasser Sakran; Paulina Salminen; Oliver Schroeder; Yosuke Seki; Asim Shabbir; Shahab Shahabi Shahmiri; Scott Shikora; Jürgen Stein; Erik Stenberg; Eren Taskin; Antonio Torres; Ramon Villalonga; Rudolf Weiner; Sylvia Weiner; Wah Yang; Joerg Zehetner; Natan Zundel

doi:10.1007/s11695-023-06481-x

Perioperative Interventions to Prevent Gastroesophageal Reflux Disease and Marginal Ulcers After Bariatric Surgery — an International Experts’ Survey

Sonja Chiappetta, Christine Stier, Omar M. Ghanem, Barham K. Abu Dayyeh, Ivo Boskoski, Gerhard Prager, Teresa Lamasters, Mohammad Kermansaravi, Edo Aarts, Imran Abbas, Luigi Angrisani, Luciano Antozzi, Tanseer Asghar, Ahmad Bashir, Estuardo Behrens, Mohit Bhandari, Aperna Bhasker, Helmuth Billy, Miguel-A. Carbajo, Jean Marc ChevallierRicardo Cohen, Jerome Dargent, Maurizio De Luca, Eduardo De Moura, Bruno Dillemans, Nicola Di Lorenzo, Mohamad Hayssam El Fawal, Daniel Moritz Felsenreich, Sigal Fishman, Michael Gagner, Manoel Galvao, Khaled Gawdat, Tikfu Gee, Bijan Ghavami, Ashraf Haddad, Andres Hanssen, Miguel F. Herrera, Kelvin Higa, Jacques M Himpens, Kazunori Kasama, Radwan Kassir, Amir Khan, Nesreen Khidir, Mousa Khoursheed, Haris Khwaja, Lillian Kow, Matt Kroh, Kuldeepak Singh Kular, Panagiotis Lainas, Muffazal Lakdawala, Laurant Layani, Ken Loi, Kamal Mahawar, Tarek Mahdy, Tom Mala, Karl Miller, Mario Musella, Martina Musella, Alexander Neymark, Abdelrahman Nimeri, David Nocca, Patrick Noel, Taryel Omarov, Mariano Palermo, Chetan Parmar, Abdolreza Pazouki, Luis Poggi, Tigran Poghosyan, Liza Pompa, Jaime Ponce, Dimitri Pournaras, Arun Prasad, Ayaad Alqahtani, Almino Ramos, Masoud Rezvani, Karl Rheinwalt, Rui Ribeiro, Adriana Rotundo, Elena Ruiz-Ucar, Bassem Safadi, Nasser Sakran, Paulina Salminen, Oliver Schroeder, Yosuke Seki, Asim Shabbir, Shahab Shahabi Shahmiri, Scott Shikora, Jürgen Stein, Erik Stenberg, Eren Taskin, Antonio Torres, Ramon Villalonga, Rudolf Weiner, Sylvia Weiner, Wah Yang, Joerg Zehetner, Natan Zundel

Risultato della ricerca: Contributo in rivista › Articolo in rivista

Abstract

Objective: This study aimed to survey international experts in metabolic and bariatric surgery (MBS) to improve and consolidate perioperative interventions to prevent gastroesophageal reflux disease (GERD) and marginal ulcers (MU) after MBS. Background: Very important long-term complications after MBS include GERD, Barrett’s esophagus, and MU. Prevention might be fundamental to reduce the incidence, severe complications, and the increasing number of revisional bariatric surgeries. Methods: An international scientific team designed an online confidential questionnaire with 45 multiple-choice questions. The survey was sent to 110 invited experts and 96 of them (from 41 different countries) participated from 21 July 2022 to 4 September 2022. Results: Most experts (≥ 90%) prescribe postoperative acid suppression agents after MBS. Life-long proton pump inhibitors prophylaxis in smokers with avoidance of non-steroidal anti-inflammatory drugs are recommended by most of the experts (66%, 73%) after any type of gastric bypass. Two-thirds of experts (69%) perform Helicobacter pylori eradication prior to MBS. Two-thirds of experts (68%) routinely perform EGD and biopsy before MBS. Follow-up esophagogastroduodenoscopy (EGD) and timing threshold for revisional and conversional MBS were variable among experts. Conclusion: This expert survey underlines important perioperative interventions that reached a two-thirds consensus among MBS international experts. Variability in follow-up EGD, approach to complication management, and thresholds for revisional and conversional MBS emphasize the need for further researches and consensus guidelines. Graphical Abstract: [Figure not available: see fulltext.].

Lingua originale	English
pagine (da-a)	1449-1462
Numero di pagine	14
Rivista	Obesity Surgery
Volume	33
DOI	https://doi.org/10.1007/s11695-023-06481-x
Stato di pubblicazione	Pubblicato - 2023

Keywords

Barrett’s esophagus
Esophagitis
GERD
Long-term complications
Marginal ulcers
OAGB
RYGB
Revisional bariatric surgery
SG

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10.1007/s11695-023-06481-x

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Chiappetta, S., Stier, C., Ghanem, O. M., Dayyeh, B. K. A., Boskoski, I., Prager, G., Lamasters, T., Kermansaravi, M., Aarts, E., Abbas, I., Angrisani, L., Antozzi, L., Asghar, T., Bashir, A., Behrens, E., Bhandari, M., Bhasker, A., Billy, H., Carbajo, M.-A., ... Zundel, N. (2023). Perioperative Interventions to Prevent Gastroesophageal Reflux Disease and Marginal Ulcers After Bariatric Surgery — an International Experts’ Survey. Obesity Surgery, 33, 1449-1462. https://doi.org/10.1007/s11695-023-06481-x

@article{c6b646151274463fb91f8c633831bea5,

title = "Perioperative Interventions to Prevent Gastroesophageal Reflux Disease and Marginal Ulcers After Bariatric Surgery — an International Experts{\textquoteright} Survey",

abstract = "Objective: This study aimed to survey international experts in metabolic and bariatric surgery (MBS) to improve and consolidate perioperative interventions to prevent gastroesophageal reflux disease (GERD) and marginal ulcers (MU) after MBS. Background: Very important long-term complications after MBS include GERD, Barrett{\textquoteright}s esophagus, and MU. Prevention might be fundamental to reduce the incidence, severe complications, and the increasing number of revisional bariatric surgeries. Methods: An international scientific team designed an online confidential questionnaire with 45 multiple-choice questions. The survey was sent to 110 invited experts and 96 of them (from 41 different countries) participated from 21 July 2022 to 4 September 2022. Results: Most experts (≥ 90%) prescribe postoperative acid suppression agents after MBS. Life-long proton pump inhibitors prophylaxis in smokers with avoidance of non-steroidal anti-inflammatory drugs are recommended by most of the experts (66%, 73%) after any type of gastric bypass. Two-thirds of experts (69%) perform Helicobacter pylori eradication prior to MBS. Two-thirds of experts (68%) routinely perform EGD and biopsy before MBS. Follow-up esophagogastroduodenoscopy (EGD) and timing threshold for revisional and conversional MBS were variable among experts. Conclusion: This expert survey underlines important perioperative interventions that reached a two-thirds consensus among MBS international experts. Variability in follow-up EGD, approach to complication management, and thresholds for revisional and conversional MBS emphasize the need for further researches and consensus guidelines. Graphical Abstract: [Figure not available: see fulltext.].",

keywords = "Barrett{\textquoteright}s esophagus, Esophagitis, GERD, Long-term complications, Marginal ulcers, OAGB, RYGB, Revisional bariatric surgery, SG, Barrett{\textquoteright}s esophagus, Esophagitis, GERD, Long-term complications, Marginal ulcers, OAGB, RYGB, Revisional bariatric surgery, SG",

author = "Sonja Chiappetta and Christine Stier and Ghanem, {Omar M.} and Dayyeh, {Barham K. Abu} and Ivo Boskoski and Gerhard Prager and Teresa Lamasters and Mohammad Kermansaravi and Edo Aarts and Imran Abbas and Luigi Angrisani and Luciano Antozzi and Tanseer Asghar and Ahmad Bashir and Estuardo Behrens and Mohit Bhandari and Aperna Bhasker and Helmuth Billy and Miguel-A. Carbajo and Chevallier, {Jean Marc} and Ricardo Cohen and Jerome Dargent and {De Luca}, Maurizio and {De Moura}, Eduardo and Bruno Dillemans and {Di Lorenzo}, Nicola and {Hayssam El Fawal}, Mohamad and Felsenreich, {Daniel Moritz} and Sigal Fishman and Michael Gagner and Manoel Galvao and Khaled Gawdat and Tikfu Gee and Bijan Ghavami and Ashraf Haddad and Andres Hanssen and Herrera, {Miguel F.} and Kelvin Higa and Himpens, {Jacques M} and Kazunori Kasama and Radwan Kassir and Amir Khan and Nesreen Khidir and Mousa Khoursheed and Haris Khwaja and Lillian Kow and Matt Kroh and {Singh Kular}, Kuldeepak and Panagiotis Lainas and Muffazal Lakdawala and Laurant Layani and Ken Loi and Kamal Mahawar and Tarek Mahdy and Tom Mala and Karl Miller and Mario Musella and Martina Musella and Alexander Neymark and Abdelrahman Nimeri and David Nocca and Patrick Noel and Taryel Omarov and Mariano Palermo and Chetan Parmar and Abdolreza Pazouki and Luis Poggi and Tigran Poghosyan and Liza Pompa and Jaime Ponce and Dimitri Pournaras and Arun Prasad and Ayaad Alqahtani and Almino Ramos and Masoud Rezvani and Karl Rheinwalt and Rui Ribeiro and Adriana Rotundo and Elena Ruiz-Ucar and Bassem Safadi and Nasser Sakran and Paulina Salminen and Oliver Schroeder and Yosuke Seki and Asim Shabbir and {Shahabi Shahmiri}, Shahab and Scott Shikora and J{\"u}rgen Stein and Erik Stenberg and Eren Taskin and Antonio Torres and Ramon Villalonga and Rudolf Weiner and Sylvia Weiner and Wah Yang and Joerg Zehetner and Natan Zundel",

year = "2023",

doi = "10.1007/s11695-023-06481-x",

language = "English",

volume = "33",

pages = "1449--1462",

journal = "Obesity Surgery",

issn = "0960-8923",

publisher = "Springer",

}

Chiappetta, S, Stier, C, Ghanem, OM, Dayyeh, BKA, Boskoski, I, Prager, G, Lamasters, T, Kermansaravi, M, Aarts, E, Abbas, I, Angrisani, L, Antozzi, L, Asghar, T, Bashir, A, Behrens, E, Bhandari, M, Bhasker, A, Billy, H, Carbajo, M-A, Chevallier, JM, Cohen, R, Dargent, J, De Luca, M, De Moura, E, Dillemans, B, Di Lorenzo, N, Hayssam El Fawal, M, Felsenreich, DM, Fishman, S, Gagner, M, Galvao, M, Gawdat, K, Gee, T, Ghavami, B, Haddad, A, Hanssen, A, Herrera, MF, Higa, K, Himpens, JM, Kasama, K, Kassir, R, Khan, A, Khidir, N, Khoursheed, M, Khwaja, H, Kow, L, Kroh, M, Singh Kular, K, Lainas, P, Lakdawala, M, Layani, L, Loi, K, Mahawar, K, Mahdy, T, Mala, T, Miller, K, Musella, M, Musella, M, Neymark, A, Nimeri, A, Nocca, D, Noel, P, Omarov, T, Palermo, M, Parmar, C, Pazouki, A, Poggi, L, Poghosyan, T, Pompa, L, Ponce, J, Pournaras, D, Prasad, A, Alqahtani, A, Ramos, A, Rezvani, M, Rheinwalt, K, Ribeiro, R, Rotundo, A, Ruiz-Ucar, E, Safadi, B, Sakran, N, Salminen, P, Schroeder, O, Seki, Y, Shabbir, A, Shahabi Shahmiri, S, Shikora, S, Stein, J, Stenberg, E, Taskin, E, Torres, A, Villalonga, R, Weiner, R, Weiner, S, Yang, W, Zehetner, J & Zundel, N 2023, 'Perioperative Interventions to Prevent Gastroesophageal Reflux Disease and Marginal Ulcers After Bariatric Surgery — an International Experts’ Survey', Obesity Surgery, vol. 33, pagg. 1449-1462. https://doi.org/10.1007/s11695-023-06481-x

TY - JOUR

T1 - Perioperative Interventions to Prevent Gastroesophageal Reflux Disease and Marginal Ulcers After Bariatric Surgery — an International Experts’ Survey

AU - Chiappetta, Sonja

AU - Stier, Christine

AU - Ghanem, Omar M.

AU - Dayyeh, Barham K. Abu

AU - Boskoski, Ivo

AU - Prager, Gerhard

AU - Lamasters, Teresa

AU - Kermansaravi, Mohammad

AU - Aarts, Edo

AU - Abbas, Imran

AU - Angrisani, Luigi

AU - Antozzi, Luciano

AU - Asghar, Tanseer

AU - Bashir, Ahmad

AU - Behrens, Estuardo

AU - Bhandari, Mohit

AU - Bhasker, Aperna

AU - Billy, Helmuth

AU - Carbajo, Miguel-A.

AU - Chevallier, Jean Marc

AU - Cohen, Ricardo

AU - Dargent, Jerome

AU - De Luca, Maurizio

AU - De Moura, Eduardo

AU - Dillemans, Bruno

AU - Di Lorenzo, Nicola

AU - Hayssam El Fawal, Mohamad

AU - Felsenreich, Daniel Moritz

AU - Fishman, Sigal

AU - Gagner, Michael

AU - Galvao, Manoel

AU - Gawdat, Khaled

AU - Gee, Tikfu

AU - Ghavami, Bijan

AU - Haddad, Ashraf

AU - Hanssen, Andres

AU - Herrera, Miguel F.

AU - Higa, Kelvin

AU - Himpens, Jacques M

AU - Kasama, Kazunori

AU - Kassir, Radwan

AU - Khan, Amir

AU - Khidir, Nesreen

AU - Khoursheed, Mousa

AU - Khwaja, Haris

AU - Kow, Lillian

AU - Kroh, Matt

AU - Singh Kular, Kuldeepak

AU - Lainas, Panagiotis

AU - Lakdawala, Muffazal

AU - Layani, Laurant

AU - Loi, Ken

AU - Mahawar, Kamal

AU - Mahdy, Tarek

AU - Mala, Tom

AU - Miller, Karl

AU - Musella, Mario

AU - Musella, Martina

AU - Neymark, Alexander

AU - Nimeri, Abdelrahman

AU - Nocca, David

AU - Noel, Patrick

AU - Omarov, Taryel

AU - Palermo, Mariano

AU - Parmar, Chetan

AU - Pazouki, Abdolreza

AU - Poggi, Luis

AU - Poghosyan, Tigran

AU - Pompa, Liza

AU - Ponce, Jaime

AU - Pournaras, Dimitri

AU - Prasad, Arun

AU - Alqahtani, Ayaad

AU - Ramos, Almino

AU - Rezvani, Masoud

AU - Rheinwalt, Karl

AU - Ribeiro, Rui

AU - Rotundo, Adriana

AU - Ruiz-Ucar, Elena

AU - Safadi, Bassem

AU - Sakran, Nasser

AU - Salminen, Paulina

AU - Schroeder, Oliver

AU - Seki, Yosuke

AU - Shabbir, Asim

AU - Shahabi Shahmiri, Shahab

AU - Shikora, Scott

AU - Stein, Jürgen

AU - Stenberg, Erik

AU - Taskin, Eren

AU - Torres, Antonio

AU - Villalonga, Ramon

AU - Weiner, Rudolf

AU - Weiner, Sylvia

AU - Yang, Wah

AU - Zehetner, Joerg

AU - Zundel, Natan

PY - 2023

Y1 - 2023

N2 - Objective: This study aimed to survey international experts in metabolic and bariatric surgery (MBS) to improve and consolidate perioperative interventions to prevent gastroesophageal reflux disease (GERD) and marginal ulcers (MU) after MBS. Background: Very important long-term complications after MBS include GERD, Barrett’s esophagus, and MU. Prevention might be fundamental to reduce the incidence, severe complications, and the increasing number of revisional bariatric surgeries. Methods: An international scientific team designed an online confidential questionnaire with 45 multiple-choice questions. The survey was sent to 110 invited experts and 96 of them (from 41 different countries) participated from 21 July 2022 to 4 September 2022. Results: Most experts (≥ 90%) prescribe postoperative acid suppression agents after MBS. Life-long proton pump inhibitors prophylaxis in smokers with avoidance of non-steroidal anti-inflammatory drugs are recommended by most of the experts (66%, 73%) after any type of gastric bypass. Two-thirds of experts (69%) perform Helicobacter pylori eradication prior to MBS. Two-thirds of experts (68%) routinely perform EGD and biopsy before MBS. Follow-up esophagogastroduodenoscopy (EGD) and timing threshold for revisional and conversional MBS were variable among experts. Conclusion: This expert survey underlines important perioperative interventions that reached a two-thirds consensus among MBS international experts. Variability in follow-up EGD, approach to complication management, and thresholds for revisional and conversional MBS emphasize the need for further researches and consensus guidelines. Graphical Abstract: [Figure not available: see fulltext.].

AB - Objective: This study aimed to survey international experts in metabolic and bariatric surgery (MBS) to improve and consolidate perioperative interventions to prevent gastroesophageal reflux disease (GERD) and marginal ulcers (MU) after MBS. Background: Very important long-term complications after MBS include GERD, Barrett’s esophagus, and MU. Prevention might be fundamental to reduce the incidence, severe complications, and the increasing number of revisional bariatric surgeries. Methods: An international scientific team designed an online confidential questionnaire with 45 multiple-choice questions. The survey was sent to 110 invited experts and 96 of them (from 41 different countries) participated from 21 July 2022 to 4 September 2022. Results: Most experts (≥ 90%) prescribe postoperative acid suppression agents after MBS. Life-long proton pump inhibitors prophylaxis in smokers with avoidance of non-steroidal anti-inflammatory drugs are recommended by most of the experts (66%, 73%) after any type of gastric bypass. Two-thirds of experts (69%) perform Helicobacter pylori eradication prior to MBS. Two-thirds of experts (68%) routinely perform EGD and biopsy before MBS. Follow-up esophagogastroduodenoscopy (EGD) and timing threshold for revisional and conversional MBS were variable among experts. Conclusion: This expert survey underlines important perioperative interventions that reached a two-thirds consensus among MBS international experts. Variability in follow-up EGD, approach to complication management, and thresholds for revisional and conversional MBS emphasize the need for further researches and consensus guidelines. Graphical Abstract: [Figure not available: see fulltext.].

KW - Barrett’s esophagus

KW - Esophagitis

KW - GERD

KW - Long-term complications

KW - Marginal ulcers

KW - OAGB

KW - RYGB

KW - Revisional bariatric surgery

KW - SG

KW - Barrett’s esophagus

KW - Esophagitis

KW - GERD

KW - Long-term complications

KW - Marginal ulcers

KW - OAGB

KW - RYGB

KW - Revisional bariatric surgery

KW - SG

UR - http://hdl.handle.net/10807/265654

U2 - 10.1007/s11695-023-06481-x

DO - 10.1007/s11695-023-06481-x

M3 - Article

SN - 0960-8923

VL - 33

SP - 1449

EP - 1462

JO - Obesity Surgery

JF - Obesity Surgery

ER -

Perioperative Interventions to Prevent Gastroesophageal Reflux Disease and Marginal Ulcers After Bariatric Surgery — an International Experts’ Survey

Abstract

Keywords

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