Abstract
Background
The purpose of this retrospective analysis was to determine if a short course of prophylactic proton pump inhibitor (PPI) therapy can prevent stomal ulceration after laparoscopic Roux-en-Y gastric bypass (LRYGBP).
Methods
Four hundred forty-nine consecutive patients who underwent LRYGBP and had a minimum of 6 months follow-up were included. Patients were categorized in two groups: patients with Helicobacter pylori at preoperative endoscopy (HP group) and patients without H. pylori (non-HP group). All patients in the HP group were medically treated prior to surgery. In both groups, almost half of the patients received low-dose proton pump inhibitors (omeprazole 20 mg daily) for 1 month following LRYGBP.
Results
The incidence of stomal ulceration in the HP group was not statistically different from the incidence in the non-HP group (7/86, 8.14% vs. 41/363, 11.29%; p = 0.559). When comparing the patients who did receive PPI therapy with the patients who did not receive PPI therapy within the non-HP group, there was no significant reduction in development of stomal ulceration (18/169, 10.65% vs. 23/194, 11.86%; p = 0.743). When comparing the patients who did receive PPI therapy with the patients who did not receive PPI therapy within the HP group, there is a significant reduction in development of stomal ulceration (0/41, 0% vs. 7/45, 15.56%; p = 0.0123).
Conclusion
Development of stomal ulceration in patients tested positive for H. pylori prior to LRYGBP can be prevented by prophylactic low-dose PPI therapy following surgery.
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Acknowledgements
The authors thank Mrs. K. Vanopdenbosch and Mrs. G. Vandendriessche for their administrative assistance and A. D’Hoore MD Phd and L. Lemmens MD for their critical review.
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None of the contents of our manuscript has previously been published in other journals. We have no financial or other relationships that might lead to a conflict of interest.
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An erratum to this article can be found at http://dx.doi.org/10.1007/s11695-010-0084-4
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André D’Hondt, M., Pottel, H., Devriendt, D. et al. Can a Short Course of Prophylactic Low-dose Proton Pump Inhibitor Therapy Prevent Stomal Ulceration After Laparoscopic Roux-en-Y Gastric Bypass?. OBES SURG 20, 595–599 (2010). https://doi.org/10.1007/s11695-009-0062-x
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DOI: https://doi.org/10.1007/s11695-009-0062-x