Time-dependent burden of reflux-related endoscopic pathology after sleeve gastrectomy: Clinical value of surveillance endoscopy in a 520-patient cohort

doi:10.4240/wjgs.124213

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World Journal of Gastrointestinal Surgery

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1948-9366

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Retrospective Cohort Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Nov 27, 2026; 18(11): 124213
Published online Nov 27, 2026. doi: 10.4240/wjgs.124213

Table 3 Time-dependent postoperative outcomes

Outcome	24-36 months, n/N (%)	36-60 months, n/N (%)	> 60 months, n/N (%)	Overall P value	Trend P value
Postoperative GERD symptoms	60/144 (41.7)	88/201 (43.8)	77/175 (44.0)	0.900	0.684
Postoperative PPI use	60/144 (41.7)	97/201 (48.3)	106/175 (60.6)	0.002	< 0.001
Postoperative bile reflux	21/144 (14.6)	25/201 (12.4)	28/175 (16.0)	0.609	0.677
Postoperative hiatal hernia	13/144 (9.0)	37/201 (18.4)	50/175 (28.6)	< 0.001	< 0.001
Postoperative erosive esophagitis	35/144 (24.3)	57/201 (28.4)	62/175 (35.4)	0.085	0.028
Postoperative LA-B+ esophagitis	11/144 (7.6)	21/201 (10.4)	36/175 (20.6)	0.001	< 0.001
Postoperative Barrett’s esophagus	9/144 (6.2)	20/201 (10.0)	23/175 (13.1)	0.124	0.041
De novo Barrett’s esophagus	3/138 (2.2)	14/195 (7.2)	17/169 (10.1)	0.023	0.007
Esophageal stricture	1/144 (0.7)	4/201 (2.0)	9/175 (5.1)	0.037	0.013
Strict clinically significant postoperative endoscopic pathology	18/144 (12.5)	37/201 (18.4)	53/175 (30.3)	< 0.001	< 0.001
Broader clinically actionable postoperative pathology	29/144 (20.1)	67/201 (33.3)	102/175 (58.3)	< 0.001	< 0.001
Treatment change after postoperative endoscopy	25/144 (17.4)	57/201 (28.4)	90/175 (51.4)	< 0.001	< 0.001

GERD: Gastroesophageal reflux disease; PPI: Proton pump inhibitor; LA-B: Los Angeles grade B.

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Citation: Aslan S, Soyer HV, Adiguzel MH, Sayar S. Time-dependent burden of reflux-related endoscopic pathology after sleeve gastrectomy: Clinical value of surveillance endoscopy in a 520-patient cohort. World J Gastrointest Surg 2026; 18(11): 124213
URL: https://www.wjgnet.com/1948-9366/full/v18/i11/124213.htm
DOI: https://dx.doi.org/10.4240/wjgs.124213

Aslan S, Soyer HV, Adiguzel MH, Sayar S. Time-dependent burden of reflux-related endoscopic pathology after sleeve gastrectomy: Clinical value of surveillance endoscopy in a 520-patient cohort. World J Gastrointest Surg 2026; 18(11): 124213 [DOI: 10.4240/wjgs.124213]

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