Increase in erosive esophagitis after laparoscopic adjustable gastric banded plication

Abstract

Studies have demonstrated an increase in the prevalence of erosive esophagitis (EE) after laparoscopic sleeve gastrectomy. Laparoscopic adjustable gastric banded plication (LAGBP) is also a restrictive bariatric surgery, but its influence on EE remains unclear. The aim of the study is to evaluate the change in the prevalence of EE 1 year after LAGBP. We retrospectively reviewed medical records of patients who underwent LAGBP. Patients who underwent esophagogastroduodenoscopy both preoperatively and at least 12 months postoperatively were enrolled. Clinical characteristics including body mass index (BMI), waist circumference (WC), and metabolic syndrome (MS) were recorded. Sixty‐five severely obese patients who underwent LAGBP between February 2009 and October 2013 were included in this study. Twelve months after surgery, patients had a significant improvement in BMI, WC, and MS, but the prevalence of EE was significantly increased from 20.0% to 44.6% after LAGBP (P = 0.005). In addition, we also found that 23 (44.2%) of the 52 patients without EE at baseline developed de novo EE. Although LAGBP resulted in a significant reduction in BMI and amelioration of comorbidities, the prevalence of EE increased significantly after operation.