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Gastric bypass surgery for obesity may ease symptoms of gastroesophageal reflux disease

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One year after Roux-En-Y gastric bypass surgery, a type of surgery that greatly reduces the size of the stomach, mean excess weight loss was 68 percent.

Patients had a significant decrease in GERD symptoms, including heartburn (from 87 percent to 22 percent), wheezing (from 40 percent to 5 percent), and laryngitis (17 percent to 7 percent) among others. Medication use also decreased significantly both for proton pump inhibitors (from 44 percent to 9 percent) and for histamine 2 blockers (from 60 percent to 10 percent). Furthermore, chronic medication use for GERD decreased from 100 percent to three percent after the surgery.

"These results appear to be at least comparable to Nissen fundoplication, a surgical procedure used to treat GERD," said Dr. Schauer. "Gastric bypass, as opposed to fundoplication or other anti-reflux procedures, may be a more appropriate surgical approach since it is effective in treating GERD as well as many other serious co-morbidities."


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Contact: Frank Raczkiewicz
412-647-3555
University of Pittsburgh Medical Center
1-Jul-2002


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