{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T12:46:54Z","timestamp":1787662014034,"version":"build-2736575974"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T00:00:00Z","timestamp":1737244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005565","name":"Johnson & Johnson Innovative Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005565","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016303","name":"Medtronic Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016303","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001511","name":"Auckland Medical Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001511","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic sleeve gastrectomy (LSG) is a potentially refluxogenic operation while Laparoscopic Roux\u2010en\u2010Y Gastric Bypass (LRYGB) is regarded as an anti\u2010reflux procedure. The aim of this study is to compare long\u2010term incidence of Barrett's Oesophagus (BO) and gastroesophageal reflux disease (GORD) following LSG and LRYGB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants of a double\u2010blinded randomized controlled trial comparing banded LRYGB and LSG for remission of type 2 diabetes were contacted to take part. A gastroscopy was performed. Primary outcome was endoscopic and histologic evidence of BO. Secondary outcomes included reflux and regurgitation scores, presence of oesophagitis, proton\u2010pump inhibitor (PPI) usage, Body Mass Index (BMI), and percentage excess weight loss (%EWL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010eight of 109 patients were enrolled into the study (LSG 26 vs. LRYGB 22). Mean follow\u2010up was 7.5\u2009years for the LSG group, and 7.4\u2009years for the RYGB group (<jats:italic>P<\/jats:italic>\u2009=\u20090.22). 8 LSG patients had BO while 3 LRYGB patients had BO (30.8%vs13.6%, <jats:italic>P<\/jats:italic>\u2009=\u20090.19). There was no significant difference in the mean reflux (8.1\u2009\u00b1\u20099.4(0\u201336) vs. 9.3\u2009\u00b1\u20098.8(0\u201334), <jats:italic>P<\/jats:italic>\u2009=\u20090.47) and regurgitation scores (7.7\u2009\u00b1\u20096.9(0\u201322) vs. 11.5\u2009\u00b1\u200910.5(0\u201344), <jats:italic>P<\/jats:italic>\u2009=\u20090.23) for LSG versus LRYGB patients or between those with and without BO. PPI usage before and after surgery was 6\/26 (23.1%) versus 13\/26 (50.0%) and 8\/22 (36.4%) versus 12\/22 (54.5%) for LSG and LRYGB patients respectively. PPI usage in patients with and without BO was 7\/11 versus 18\/37. EWL was significantly greater (<jats:italic>P<\/jats:italic>\u2009=\u20090.0013) in the LRYGB group (74.8\u2009\u00b1\u200928.1%) compared to LSG group (49.7\u2009\u00b1\u200918.7%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Long\u2010term incidence of BO trended towards but was not significantly higher for LSG compared to LRYGB group. We support routine endoscopic surveillance for bariatric patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.19369","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T07:53:15Z","timestamp":1737359595000},"page":"911-918","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Long\u2010term effect of Roux\u2010en\u2010Y gastric bypass versus sleeve gastrectomy on reflux and Barrett's oesophagus: a randomized controlled trial"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5412-7185","authenticated-orcid":false,"given":"Young Min","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Surgery, North Shore Hospital Waitemata District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7543-0230","authenticated-orcid":false,"given":"Ahmed","family":"Barazanchi","sequence":"additional","affiliation":[{"name":"Department of Surgery, North Shore Hospital Waitemata District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Robertson","sequence":"additional","affiliation":[{"name":"Department of Surgery, North Shore Hospital Waitemata District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinki","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W. 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