Authors: Cobey, Fred; Oelschlager, Brant

Source: Obesity Surgery, Volume 15, Number 5, May 2005 , pp. 710-712(3)

Publisher: Springer

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.

Keywords: BARRETT'S ESOPHAGUS; GASTRIC BYPASS; GASTROESOPHAGEAL REFLUX DISEASE; BARIATRIC SURGERY; MORBID OBESITY

Document Type: Research article

DOI: http://dx.doi.org/10.1381/0960892053923932

Publication date: 2005-05-01

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