Treatment of GERD in a Patient with Obesity

Clinical Scenario

This protocol addresses the management of gastroesophageal reflux disease (GERD) in a patient who also has Obesity. The presence of obesity defines a clinically distinct subset of GERD patients and shapes what interventions are appropriate to consider.

Key Comorbidity: Obesity

In obese patients with GERD, candidacy for available interventions — along with the patient's willingness to accept associated risks and requirements for lifestyle alterations — is a central factor in selecting the appropriate management approach.

Treatment Approach

For appropriate candidates, a specific bariatric surgical procedure is recommended as an option to address GERD in this setting. The full protocol specifies which patients qualify and what the complete evidence-based regimen entails.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.14309/ajg.0000000000001538

We suggest consideration of Roux-en-Y gastric bypass (RYGB) as an option to treat GERD in obese patients who are candidates for this procedure and who are willing to accept its risks and requirements for lifestyle alterations.

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