Gastroesophageal Reflux and Severe Obesity

Bestoun H. Ahmed, MD, FACS, FRCS, FASMBS, ABOM, Anita P. Courcoulas, MD, MPH, FACS

Key Points

  • There is an increased incidence of reflux disease in severely obese people.
  • Routine antireflux surgery has a higher failure rate in the severely obese.
  • Laparoscopic gastric bypass is an effective antireflux operation and addresses other obesity-related comorbid conditions. Sleeve gastrectomy, a more recent bariatric procedure, may worsen the reflux.

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Last updated: February 28, 2023