Cover Image

Laryngopharyngeal reflux among patients undergoing bariatric surgery

Purpose The effect of altered subsphincteric gastric volume and pressure after bariatric surgery on laryngopharyngeal reflux (LPR) remains largely unknown. This was a cross-sectional pilot study conducted between January 2018 and January 2019 to identify changes in LPR symptoms and signs in bariatri...

Full description

Saved in:
Bibliographic Details
Main Authors: Ramasamy, Purushotman, Kumarasamy, Vigneswaran, Singh, Avatar Singh Mohan, Abu Bakar, Mohd Zulkiflee B., Narayanan, Prepageran, Ganapathy, Shubash Shander, Ramasamy, Umasangar, Vinayak, C. Rajkumar
Format: Article
Published: Springer 2021
Subjects:
RD Surgery
Online Access:http://eprints.um.edu.my/34020/
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.um.eprints.34020
record_format eprints
spelling my.um.eprints.340202022-06-23T07:19:55Z http://eprints.um.edu.my/34020/ Laryngopharyngeal reflux among patients undergoing bariatric surgery Ramasamy, Purushotman Kumarasamy, Vigneswaran Singh, Avatar Singh Mohan Abu Bakar, Mohd Zulkiflee B. Narayanan, Prepageran Ganapathy, Shubash Shander Ramasamy, Umasangar Vinayak, C. Rajkumar RD Surgery Purpose The effect of altered subsphincteric gastric volume and pressure after bariatric surgery on laryngopharyngeal reflux (LPR) remains largely unknown. This was a cross-sectional pilot study conducted between January 2018 and January 2019 to identify changes in LPR symptoms and signs in bariatric surgery patients presurgery and postsurgery. Materials and Methods Thirty-four patients listed for bariatric surgery in a single tertiary referral center were recruited, where 31 (77.4% female, mean age 46.3 +/- 8.9 years) fulfilled the eligibility criteria. Of the eligible patients, 54.8% and 45.2% underwent sleeve gastrectomy (SG) and gastric bypass (GB), respectively. LPR symptoms were assessed using the self-reported reflux symptom index (RSI). Video-recorded endolaryngeal signs were scored using the reflux finding score (RFS) by two blinded otolaryngologists. Patients' presurgical and 3-month postsurgical body mass index (BMI), RSI, and RFS were determined. Patients were deemed as having LPR when RSI > 13 or RFS > 7. Results There was a significant correlation between the postsurgical RSI and RFS changes (Pearson's r = 0.474, p = 0.007). Of the 31 patients, 12.9% (RSI) and 6.4% (RFS) recovered from preexisting LPR, whereas 22.6% (RSI) and 3.2% (RFS) developed new de novo LPR postsurgery. The postsurgical mean RFS change improved significantly in the GB group compared with that of the SG group (p < 0.05). Conclusion LPR is best assessed clinically using a multimodal approach (RSI and RFS). Bariatric surgery may worsen or lead to de novo LPR. Recognizing the LPR outcomes in these patients is paramount for optimal voice, speech, and swallowing functions. Springer 2021-08 Article PeerReviewed Ramasamy, Purushotman and Kumarasamy, Vigneswaran and Singh, Avatar Singh Mohan and Abu Bakar, Mohd Zulkiflee B. and Narayanan, Prepageran and Ganapathy, Shubash Shander and Ramasamy, Umasangar and Vinayak, C. Rajkumar (2021) Laryngopharyngeal reflux among patients undergoing bariatric surgery. Obesity Surgery, 31 (8). pp. 3749-3757. ISSN 0960-8923, DOI https://doi.org/10.1007/s11695-021-05492-w <https://doi.org/10.1007/s11695-021-05492-w>. 10.1007/s11695-021-05492-w
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RD Surgery
spellingShingle RD Surgery
Ramasamy, Purushotman
Kumarasamy, Vigneswaran
Singh, Avatar Singh Mohan
Abu Bakar, Mohd Zulkiflee B.
Narayanan, Prepageran
Ganapathy, Shubash Shander
Ramasamy, Umasangar
Vinayak, C. Rajkumar
Laryngopharyngeal reflux among patients undergoing bariatric surgery
description Purpose The effect of altered subsphincteric gastric volume and pressure after bariatric surgery on laryngopharyngeal reflux (LPR) remains largely unknown. This was a cross-sectional pilot study conducted between January 2018 and January 2019 to identify changes in LPR symptoms and signs in bariatric surgery patients presurgery and postsurgery. Materials and Methods Thirty-four patients listed for bariatric surgery in a single tertiary referral center were recruited, where 31 (77.4% female, mean age 46.3 +/- 8.9 years) fulfilled the eligibility criteria. Of the eligible patients, 54.8% and 45.2% underwent sleeve gastrectomy (SG) and gastric bypass (GB), respectively. LPR symptoms were assessed using the self-reported reflux symptom index (RSI). Video-recorded endolaryngeal signs were scored using the reflux finding score (RFS) by two blinded otolaryngologists. Patients' presurgical and 3-month postsurgical body mass index (BMI), RSI, and RFS were determined. Patients were deemed as having LPR when RSI > 13 or RFS > 7. Results There was a significant correlation between the postsurgical RSI and RFS changes (Pearson's r = 0.474, p = 0.007). Of the 31 patients, 12.9% (RSI) and 6.4% (RFS) recovered from preexisting LPR, whereas 22.6% (RSI) and 3.2% (RFS) developed new de novo LPR postsurgery. The postsurgical mean RFS change improved significantly in the GB group compared with that of the SG group (p < 0.05). Conclusion LPR is best assessed clinically using a multimodal approach (RSI and RFS). Bariatric surgery may worsen or lead to de novo LPR. Recognizing the LPR outcomes in these patients is paramount for optimal voice, speech, and swallowing functions.
format Article
author Ramasamy, Purushotman
Kumarasamy, Vigneswaran
Singh, Avatar Singh Mohan
Abu Bakar, Mohd Zulkiflee B.
Narayanan, Prepageran
Ganapathy, Shubash Shander
Ramasamy, Umasangar
Vinayak, C. Rajkumar
author_facet Ramasamy, Purushotman
Kumarasamy, Vigneswaran
Singh, Avatar Singh Mohan
Abu Bakar, Mohd Zulkiflee B.
Narayanan, Prepageran
Ganapathy, Shubash Shander
Ramasamy, Umasangar
Vinayak, C. Rajkumar
author_sort Ramasamy, Purushotman
title Laryngopharyngeal reflux among patients undergoing bariatric surgery
title_short Laryngopharyngeal reflux among patients undergoing bariatric surgery
title_full Laryngopharyngeal reflux among patients undergoing bariatric surgery
title_fullStr Laryngopharyngeal reflux among patients undergoing bariatric surgery
title_full_unstemmed Laryngopharyngeal reflux among patients undergoing bariatric surgery
title_sort laryngopharyngeal reflux among patients undergoing bariatric surgery
publisher Springer
publishDate 2021
url http://eprints.um.edu.my/34020/
_version_ 1738510702014889984
score 13.211869

Similar Items