{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:48:01Z","timestamp":1787032081837,"version":"build-2736575974"},"reference-count":48,"publisher":"Index Copernicus","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2025,7,30]]},"abstract":"<ns3:p>&lt;b&gt;Introduction:&lt;\/b&gt; Laparoscopic sleeve gastrectomy (LSG) is one of the most popular bariatric surgeries, which contributes to a significant reduction in body weight and improvement of metabolic parameters. At the same time, gastroesophageal reflux disease (GERD) remains one of the key complications after this intervention.&lt;b&gt;Aim:&lt;\/b&gt; The aim of this study was to determine the main factors contributing to the development of GERD after LSG.&lt;b&gt;Materials and methods:&lt;\/b&gt; The study included 328 patients (mean age 42.3 9.6 years, mean BMI [body mass index] 41.7 6.1 kg\/m) who underwent LSG in 2016\u20132022. Patients were divided into two groups: the study group (n = 72, 21.95%) \u2013 patients with occult GERD, the control group (n = 256, 78.05%) \u2013 patients without signs of the study disease. Before the operation, a comprehensive assessment of the patients' condition was performed, including the GERD-HRQL questionnaire and 24-hour pH monitoring (DeMeester index [IDM]). Latent GERD was defined as IDM&gt;14.72 in the absence of symptoms. Postoperative disease was diagnosed on the basis of changes in GERD-HRQL and repeated pH metering 12 months after LSG. The Review Manager program was used for statistical analysis.&lt;b&gt;Results:&lt;\/b&gt; One year after surgery, 33.23% (n = 109) of patients developed clinically significant GERD. Among those who had latent disease before LSG, 76.38% (n = 55) developed symptoms of the disease. In the control group, the disease appeared in 21.19% (n = 54) of patients, and another 5.08% (n = 13) had a latent form of the disease. Statistical analysis revealed a strong association between the presence of latent disease before surgery and an increased risk of developing clinical disease after LSG (RR: 0.55, OR: 12.10, p&lt;0.001). There was also a tendency to an increased risk of developing this disease in patients over 55 years of age, but this relationship was not statistically significant (p = 0.34), as well as female gender (p = 0.75).&lt;b&gt;Conclusions:&lt;\/b&gt; LSG is an effective method of treating obesity, but it can contribute to the development of GERD, especially in patients with occult disease. Considering that 76.38% of such patients developed symptoms of the disease after surgery, it is advisable to include preoperative 24-hour pH-metry in the standard examination for the timely detection of occult reflux.<\/ns3:p>","DOI":"10.5604\/01.3001.0055.2330","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T11:43:01Z","timestamp":1760528581000},"page":"31-36","source":"Crossref","is-referenced-by-count":2,"title":["Gastroesophageal reflux disease after laparoscopic sleeve gastrectomy: risk factors and diagnostic aspects"],"prefix":"10.5604","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6484-3873","authenticated-orcid":false,"given":"Andrii","family":"Kurmanskyi","sequence":"first","affiliation":[{"name":"Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5048-1795","authenticated-orcid":false,"given":"Olga","family":"Tkachuk","sequence":"additional","affiliation":[{"name":"Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6517-6902","authenticated-orcid":false,"given":"Andrii","family":"Kebkalo","sequence":"additional","affiliation":[{"name":"Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","reference":[{"key":"631099r1","doi-asserted-by":"crossref","unstructured":"Musella M., Berardi G., Velotti N., Schiavone V., Vitiello A.: Ten-Year Results ofLaparoscopic Sleeve Gastrectomy: Retrospective Matched Comparison with Laparoscopic Adjustable Gastric Banding-Is There a Significant Difference in LongTerm? 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