Which type of bariatric surgery is considered effective in treating gastroesophageal reflux disease (GERD)?

Roux-en-Y Gastric Bypass (RYGB) is recognized for its effectiveness in addressing gastroesophageal reflux disease (GERD). This surgery facilitates a significant alteration in the anatomy and function of the gastrointestinal tract, which can lead to a reduction in reflux symptoms. The RYGB procedure creates a small pouch from the stomach and connects it directly to the small intestine, thus bypassing a considerable portion of the stomach and duodenum. This can reduce the amount of acid produced and the potential for bile reflux, providing relief from GERD.

In addition to the anatomical changes, RYGB has a beneficial effect on weight loss, which is also important since obesity exacerbates GERD symptoms. Many patients find that their reflux symptoms significantly improve following this procedure.

Other surgical options, like Biliopancreatic Diversion with Duodenal Switch (BPD/DS), gastric sleeve surgery, and vertical band gastroplasty, may not provide the same level of relief for GERD and can, in some cases, even worsen reflux symptoms. These options are usually not primarily indicated for patients with significant GERD, and their impact on reflux can vary substantially among individuals.