Morbid Obesity Clinical Trial
Official title:
Clinico-functional Evaluation of Gastroesophageal Reflux Disease (GERD): A Comparative Study Between the Vertical Sleeve Gastrectomy and Roux-en-Y Gastric Bypass Techniques
The hypothesis of this study is that surgical techniques primarily designed for weight loss,
ameliorates gastroesophageal reflux disease (GERD) in morbidly obese patients.
Therefore the present study intends to evaluate such impact on patients submitted to two of
the most common techniques available, the Roux-en-Y Gastric Bypass and Vertical Sleeve
Gastrectomy.
In order to determine if weight loss surgeries do indeed ameliorate GERD in morbidly obese
patients, esophageal syndromes will be evaluated following the Montreal Consensus, where
troublesome symptoms were defined as score ≥ 2 on a validated questionnaire of symptoms for
Portuguese language along with esophageal syndromes with injury assessed through upper
endoscopy.
Esophageal acid exposure will be determined through 24h pH monitoring. Increased acid
exposure will be characterized when total esophageal pH < 4 for at least 4% of its total
monitoring time.
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