Abstract Background Gastric emptying studies are important in evaluating patients for candidate for bariatric surgery whom symptomatic for Gerd, allowing for tailored surgical strategies that consider the functional status of the stomach. This careful assessment helps to improve surgical outcomes and enhance overall patient satisfaction in those suffering from GERD with concurrent motility disorders. In patients with GERD who also exhibit delayed gastric emptying, surgical options such as sleeve or mini gastric bypass, SADI, SASI, need careful consideration. Preoperative gastric emptying studies help identify those at risk for postoperative complications such as persistent heart burn or GERD, dysphasia or nausea, which may arise from exacerbated gastric delay. And no contraindication to go for the above-mentioned type if surgeries if the obese patients with GERD having normal gastric emptying. Methods In this study, we are going to conduct a retrospective cohort study designed to investigate the relationship between gastric emptying and the outcomes of surgical interventions, the proper choice of bariatric surgery for patients gastroesophageal reflux disease (GERD).and this will change the strategy that used to be internationally between bariatric surgeons in choosing the proper surgery for obese patients. Gastric emptying will be assessed using scintigraphy before and after various anti-reflux surgeries, including laparoscopic Nissen fundoplication, hiatal hernia repair, and laparoscopic RYGB. And now we use it in our study to assess obese patients with GERD to choose the proper surgical choice with less future complains. And this technique will overcome the upper endoscopy to assess for reflux degree and its relation to surgical options, the study's primary endpoint is to determine whether pre-operative gastric emptying affects the success rate of bariatric surgery. Secondary endpoints include post-operative symptom improvement, complications, and quality of life. The results of this study will provide valuable insights into the role of gastric emptying in the selection of surgical options for obese patients with GERD, ultimately improving clinical outcomes and patient satisfaction. Conclusion The option to do gastric emptying study by using scintigraphy before choosing the type of surgery for obese patients with GERD will affect the surgeon decision and add a high value for the future post operative complications on long run This type of study will change the old ideas in choosing type of surgery and overcome any other tests for GERD.
Al‐Huniti et al. (Thu,) studied this question.