Gastroesophageal Reflux and Gastrointestinal Symptoms After Metabolic and Bariatric Surgery in Adolescents: An 8-year Follow-up Analysis

jpedsurg.org

Vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB) are the most commonly performed metabolic and bariatric surgery (MBS) procedures in adolescents and adults. Despite their safety and effectiveness, there is concern over postoperative gastrointestinal symptoms (GIS), especially gastroesophageal reflux symptoms (GERS), in those undergoing VSG.

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Article · Jan 2025 · 1 min read

In brief

This 8-year longitudinal study compares gastrointestinal outcomes between VSG and RYGB procedures in adolescent patients, with particular focus on postoperative reflux symptoms. The research addresses critical safety concerns about long-term GI complications in young bariatric surgery patients.

VSG and RYGB are the most common bariatric procedures in adolescents, but VSG carries higher risk of postoperative GERD.
Long-term GI symptom monitoring is essential after adolescent bariatric surgery, particularly for reflux in VSG patients.
RYGB may be preferable to VSG in adolescents with pre-existing GERD or high reflux risk factors.

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