Research
Mixed
Sleeve gastrectomy is associated with a higher risk of new-onset or worsening gastroesophageal reflux disease (GERD) compared to Roux-en-Y gastric bypass (RYGB).
If you have existing or severe acid reflux, Roux-en-Y gastric bypass is likely a safer choice than sleeve gastrectomy, as the sleeve procedure carries a higher risk of causing or worsening reflux.
GoodQualifiesHIGH confidence
Worsening or the appearance of new-onset gastroesophageal reflux disease (GERD) is higher after VSG than RYGB.
Why this rating
Explicitly stated comparison with citation.
Source
Metabolic/bariatric surgery optimization: a position statement by Arabic association for the study of diabetes and metabolism (AASD)
Amin Roshdy Soliman et al. · Diabetology & Metabolic Syndrome · 2025
DOI 10.1186/s13098-024-01564-w
clinical_guidelineCited 4×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
More from this paper
- Sleeve gastrectomy (SG) induces metabolic changes beyond restriction by reducing ghrelin and increasing GLP-1 and GIP, which stimulates insulin release and delays gastric emptying to improve type 2 diabetes.Good
- GLP-1 receptor agonists (semaglutide and tirzepatide) are effective treatments for weight regain after bariatric surgery, producing clinically significant weight loss without severe adverse events.Good
Related findings · Mixed
- Bariatric surgery (VSG and RYGB) is the most effective and sustainable treatment for obesity, producing marked and sustained weight loss that non-surgical interventions cannot match.Strong
- Severely protein-deficient diets (2–3% energy) induce lean body mass loss and metabolic imbalance, whereas adequate protein intake (0.66 g/kg/d minimum) is a prerequisite for maintaining muscle, bone, and physiological function.Strong
- For patients with Class III obesity (BMI >39.9 kg/m2), metabolic bariatric surgery (MBS) is significantly more effective than any currently approved medication, with BilioPancreatic Diversion (BPD) showing the highest estimated weight loss.Strong
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