Background

This study is a single surgeon comparison of VSG vs RYGB performed between January and December of 2018 without variation in technique to evaluate use of proton pump inhibitor (ppi) at most recent follow up. Patients were excluded if they were on ppi at initial consultation, if they had a concurrent hiatal hernia, if they are currently smoking, if they did not have greater than one year follow up, or if they are on steroids at most recent follow up. No revisions or conversions were included.

Methods

We performed a retrospective database analysis of our electronic medical record to conduct this chart review. The first 10 patients that met the above criteria each for VSG and RYGB were included in the study.

Results

None of the patients analyzed were on a ppi at time of initial bariatric operation nor did they have a hiatal hernia identified at time of operation. The first 10 patients meeting the above criteria were analyzed. Average follow up in months was 37 for VSG, 29 for RYGB. 70% of VSG patients and 0% of RYGB patients were on a ppi at time of most recent follow up.

Conclusions

In this chart review of patients without reflux requiring a ppi or hiatal hernia at time of initial bariatric surgery, RYGB appears to be a more effective method of preventing future need of ppi.