This is a systematic review of the utility of sleeve gastrectomy (SG) or Roux-en-Y
gastric bypass (RYGB) for patients with refractory gastroparesis (GSP) [
[1]
]. GSP is oftentimes difficult to manage after attempts at medical management and
a multitude of options have been proposed. The aim of the study was to assess the
efficacy of the most common bariatric surgeries performed on symptom improvement and
gastric emptying. From a title and abstract screen of 2102 articles and full-text
assessments of 75 articles, 19 total studies were selected for review. Qualitatively,
nausea symptoms improved majorly in 55% to 100% and significantly in 70% to 80% of
patients. Vomiting symptoms completely improved in 65% to 100% of patients. Furthermore,
gastric emptying times improved, ranging from 45% to 67% (although 1 study reported
increased emptying time) for SG and 87% for RYGB [
[1]
].To read this article in full you will need to make a payment
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References
- Systematic review on sleeve gastrectomy or Roux-en-Y gastric bypass surgery for refractory gastroparesis.Surg Obes Relat Dis. 2023; 19: 253-265
- Time-resolved MRI after ingestion of liquids reveals motility changes after laparoscopic sleeve gastrectomy--preliminary results.Obes Surg. 2011; 21: 95-101
- Mechanisms of esophageal and gastric transit following sleeve gastrectomy.Obes Surg. 2021; 31: 725-737
- Medical and surgical management of gastroparesis: a systematic review.Surg Obes Relat Dis. 2021; 17: 799-814
- AGA clinical practice update on management of medically refractory gastroparesis: expert review.Clin Gastroenterol Hepatol. 2022; 20: 491-500
Article info
Publication history
Published online: October 10, 2022
Identification
Copyright
© 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Systematic review on sleeve gastrectomy or Roux-en-Y gastric bypass surgery for refractory gastroparesisSurgery for Obesity and Related DiseasesVol. 19Issue 3
- PreviewManagement of refractory gastroparesis is challenging after diet, prokinetics, and long-term nutritional support have failed. In this review, the efficacy and safety of surgical interventions (sleeve gastrectomy and Roux-en-Y gastric bypass surgery) are evaluated systematically in patients with refractory gastroparesis. The PubMed, Embase, and Scopus databases were searched to identify relevant studies published up to June 2021. Outcome of interest was symptom improvement and gastric emptying. Nineteen studies with 222 refractory gastroparesis patients (147 Roux-en-Y gastric bypass, 39 sleeve gastrectomy, and 36 subtotal gastrectomy) were included.
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