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- Title
The Relationship Between Body Mass Index and Lower Esophageal Sphincter Laxity in Gastroesophageal Reflux Disease.
- Authors
Durak, Doğukan; Alkurt, Ertuğrul Gazi
- Abstract
Aim: In our study, our aim was to evaluate the effect of overweight on lower esophageal sphincter (LES) laxity in GERD (gastroesophageal reflux disease) by examining the relationship between LES laxity and body mass index (BMI) in individuals with dyspeptic complaints. Method: The data were collected prospectively and evaluated retrospectively in this study. The study included endoscopies performed on 250 patients with reflux and dyspepsia complaints by Hitit University Erol Olçok Training and Research Hospital General Surgery Clinic Gastroenterology Surgery subbranch members between February 2020 and May 2021. BMIs of the patients were recorded during the procedure. The patients were grouped in two according to their BMIs and LES states were compared. Results: 250 individuals who participated in the study were grouped in two as those with a BMI value of <25 kg/m2 and those with a BMI value of >25 kg/m2. The patients were also grouped in two in terms of having LES laxity and they were compared. In the functional LES group, while 41.6% of the patients were in BMI normal or underweight group, this rate was found as 33.3% in patient with LES laxity. In BMI overweight and obese patients, functional LES was found as 58.4%, while LES laxity was found as 66.7%. Although the rate of obese patients was higher in patients with LES laxity, no statistically significant difference was observed (p=0,193). Conclusion: Although obesity is a risk factor in GERD disease, we believe that this is not an independent risk factor associated with LES laxity. In our study, when the patients were grouped in two as patients <25 BMI, in other words as normal and underweight patients and as patients >25, in other words as overweight and obese patients, no significant difference was found in terms of LES laxity. No correlation was found between high body mass index (BMI) and LES laxity.
- Subjects
ESOPHAGOGASTRIC junction diseases; GASTROESOPHAGEAL reflux; BODY mass index; INDIGESTION; ENDOSCOPIC surgery; GASTROENTEROLOGY
- Publication
Surgical Chronicles, 2022, Vol 27, Issue 1, p11
- ISSN
1108-5002
- Publication type
Article