Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 45: Is Bariatric Surgery Good For Reflux? (continued)

Nonsurgical weight loss usually results in no effect on symptoms, endoscopic findings, or pH monitoring. However, a recent study showed a reduction of nearly 40% in the risk of frequent GERD symptoms among women with a decrease in BMI of more than 3.5 as compared with women without a change in body mass index (BMI) (odds ratio 0.64). Another study of 34 patients with a BMI greater than 23 found that GERD symptoms improved by 75% from baseline with weight loss (Figure 45-1). A direct correlation between weight loss and symptom score was seen. The beneficial effect of weight reduction in…