Complete Regression of Barrett's Esophagus after Roux-en-Y Gastric Bypass |
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Authors: | Fred Cobey MD MPH Brant Oelschlager MD |
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Institution: | (1) The Swallowing Center and Department of Surgery, The University of Washington, Seattle, WA, USA;(2) The Swallowing Center and Department of Surgery, The University of Washington, Seattle, WA, USA |
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Abstract: | Regression of Barrett's esophagus may occur after effective anti-reflux surgery. Roux-en-Y gastric bypass (RYGBP) is an effective
operation to treat morbid obesity. In addition, it provides complete relief of gastroesophageal reflux disease (GERD). Regression
of Barrett's has not been reported after RYGBP. We performed a laparoscopic Roux-en-Y gastric bypass on a patient with GERD
and Barrett's esophagus. At 1 year after the RYGBP, an upper endoscopy was performed as routine surveillance for the patient's
Barrett's esophagus; endoscopic and histologic evaluation demonstrated complete regression of the Barrett's esophagus. The
patient lost one-third of her preoperative weight and had resolution of her reflux symptoms. RYGBP limits the amount of acid
reflux and completely diverts bile away from the esophagus. This may lead to the regression of Barrett's esophagus. |
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Keywords: | BARRETT'S ESOPHAGUS GASTRIC BYPASS GASTROESOPHAGEAL REFLUX DISEASE BARIATRIC SURGERY MORBID OBESITY |
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