Management of Barrett脗麓s Esophagus after vertical gastrectomy
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Abstract
There is a great controversy in the management of Barrett´s esophagus (BE) after sleeve gastrectomy (SG). During last decade, some cases of esophageal adenocarcinoma after SG have been published and there is a serious concern about this issue.Many studies have pointed out that 30-40% of patients showed esophagitis 5 years after SG. However, there is discrepancy in the rate of BE after SG (5-18 %) and how to deal with.Some surgeons advocate for offering Roux-en-Y gastric bypass to all patients with BE after SG, with or without symptoms of gastroesophageal reflux. However, other surgeons believe that management of BE after SG should be tailored based upon patients characteristics: symptoms, age, weight, comorbidities, Close follow-up of BE patients with IBP therapy could be a reasonable option for asymptomatic patients with successful weigth loss after SG
