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Review
. 2022 Jul;14(7):260-263.
doi: 10.14740/jocmr4713. Epub 2022 Jun 2.

Benign Anorectal Disorders and Pelvic Floor Disease After Bariatric Surgery

Giorgio Lisi  1 , Michela Campanelli  2   3 , Domenico Benavoli  3 , Emanuela Bianciardi  4 , Domenico Spoletini  1 , Paolo Gentileschi  3
Affiliations
Review

Benign Anorectal Disorders and Pelvic Floor Disease After Bariatric Surgery

Giorgio Lisi et al. J Clin Med Res. 2022 Jul.

Abstract

The correlations between morbid obesity, bariatric surgery and gastrointestinal disorders are well known and reported. Symptoms like abdominal pain, constipation, bloating, heartburn and gastroesophageal reflux disease are known to be significantly more prevalent in overweight patients and body mass index is associated positively with abdominal pain and diarrhea. In spite of these conditions, less is known about the lower gastrointestinal tract. Of these, anorectal disorders and pelvic floor disease are both believed to be more frequent in obese patients compared to the general population. Weight loss related to bariatric surgery seems to improve quality of life and weight-related symptoms, although some of these conditions may get worse. All these conditions are rarely studied in patients undergoing bariatric surgery for morbid obesity. This concise review aimed to focus on these conditions in patients undergoing bariatric surgery for morbid obesity in order to improve patient selection and post-operative management.

Keywords: Anorectal disorders; Bariatric surgery; Obesity; Pelvic floor disease.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

References

    1. Ciccioriccio MC, Iossa A, Boru CE, De Angelis F, Termine P, Giuffre M, Silecchia G. et al. Colorectal cancer after bariatric surgery (Cric-Abs 2020): Sicob (Italian society of obesity surgery) endorsed national survey. Int J Obes (Lond) 2021;45(12):2527–2531. doi: 10.1038/s41366-021-00910-6. - DOI - PubMed
    1. Elia Guedea M, Gracia Solanas JA, Royo Dachary P, Ramirez Rodriguez JM, Aguilella Diago V, Martinez Diez M. [Prevalence of anal diseases after Scopinaro's biliopancreatic bypass for super-obese patients] Cir Esp. 2008;84(3):132–137. doi: 10.1016/S0009-739X(08)72154-7. - DOI - PubMed
    1. Delgado-Aros S, Locke GR 3rd, Camilleri M, Talley NJ, Fett S, Zinsmeister AR, Melton LJ 3rd. Obesity is associated with increased risk of gastrointestinal symptoms: a population-based study. Am J Gastroenterol. 2004;99(9):1801–1806. doi: 10.1111/j.1572-0241.2004.30887.x. - DOI - PubMed
    1. Grande M, Lisi G, De Sanctis F, Grande S, Esser A, Campanelli M, Balassone V. et al. Does a relationship still exist between gastroesophageal reflux and Helicobacter pylori in patients with reflux symptoms? World J Surg Oncol. 2014;12:375. doi: 10.1186/1477-7819-12-375. - DOI - PMC - PubMed
    1. Fysekidis M, Bouchoucha M, Bihan H, Reach G, Benamouzig R, Catheline JM. Prevalence and co-occurrence of upper and lower functional gastrointestinal symptoms in patients eligible for bariatric surgery. Obes Surg. 2012;22(3):403–410. doi: 10.1007/s11695-011-0396-z. - DOI - PubMed

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