Supplementary Table 2 | Laparoscopic sleeve gastrectomy and relationship with oesophageal disease Study Year Type of Study Patients Evaluation Follow-up (months) Oesophageal Issue Findings Nocca 2006 Prospective trial 163 Symptom reporting 24 GERD Melissas 2007 Retrospectiv e analysis 23 Motility and symptom reporting 12 GERD, gastric emptying Increased (preoperative 12%, postoperative 24%) Reduced (preoperative 35%, postoperative 30%); increased gastric emptying Weiner 2007 Retrospectiv e analysis 120 Symptom reporting 60 GERD Yehoshua 2008 Prospective analysis 20 No follow-up Gastric emptying Melissas 2008 Retrospectiv e analysis 14 Orogastric Tube instillation with methylene blue Symptom reporting 24 GERD, gastric emptying Arias et al.S6 2009 Retrospectiv e analysis of a prospective cohort 130 Symptom reporting 24 GERD Increased (preoperative 0%, postoperative 2%) Bernstine 2009 Prospective trial 21 Gastric emptying scintigraphy 3 Gastric emptying No effect on gastric emptying Lakdawala 2010 Retrospectiv e analysis 50 Symptom reporting 12 GERD Increased (preoperative 5%, postoperative 9%) Himpens 2010 Retrospectiv e analysis of prospective cohort 41 Symptom reporting 72 GERD Increased (preoperative 20%, postoperative 23%) Howard 2011 Retrospectiv e trial 28 Symptom reporting, upper GI series 23 GERD Kehagias 2011 Randomized control trial 30 Need for PPI 36 GERD Reduced (preoperative 25%, postoperative 23%) Reduced (preoperative 7%, postoperative 0%) Chopra 2012 Retrospectiv e analysis 174 Symptom reporting 36 GERD Carter 2011 Retrospectiv e analysis 176 Symptom reporting 24 GERD Petersen et al.S14 2012 Prospective cohort 37 pH manometry 24 LES pressure Braghetto 2012 Prospective trial 167 60 GERD Increased (preoperative 0%, postoperative 28%) Rawlins 2013 Retrospectiv e analysis 53 60 GERD Peterli 2013 Randomized controlled Trial 107 Symptom reporting, endoscopy, oesophageal manometry, ambulatory pH monitoring, scintigraphy Symptom reporting, need for antireflux medications Symptom reporting, need for PPI, endoscopy, oesophageal manometry 36 GERD Reduced (preoperative 28%, postoperative 26%) Reduced (preoperative 44%, postoperative 22%) et al.S1 et al.S2 et al.S3 et al.S4 et al.S5 et al.S7 et al.S8 et al.S9 et al.S10 et al.S11 et al.S12 et al.S13 et al.S15 et al.S16 et al.S17 Reduced (preoperative 35%, postoperative 15%) Increased pressure in sleeve compared with whole stomach Increased (Preoperative 14%, Postoperative 36%), Increased gastric emptying Reduced (preoperative 14%, postoperative 13%) Increased (preoperative 35%, postoperative 49%) Increased postoperative LES pressure Dupree 2014 Retrospectiv e analysis 4,832 (LSG), 33,867 (LAGB) Symptom scoring 6 GERD Increased (preoperative 44.5; postoperative 53.4%) Del Genio 2014 Prospective Analysis 25 High-resolution impedance manometry 13 Peristalsis Increased ineffective peristalsis, unchanged LES function, incomplete bolus transit Sieber 2014 Retrospectiv e analysis of prospective cohort 68 N/A 72 GERD Reduced (preoperative 50%, postoperative 38%) et al.S18 et al.S19 et al.S20 Abbreviations: LAGB, laparoscopic adjustable gastric band; LES, lower oesophageal sphincter; LSG, laparoscopic sleeve gastrectomy; PPI, proton pump inhibitors; RYGB, Roux-en-Y gastric bypass; N/A, not applicable. Supplementary reference list S1. Nocca, D. et al. A prospective multicenter study of 163 sleeve gastrectomies: results at 1 and 2 years. Obes. Surg. 18, 560–565 (2008). S2. Melissas, J. et al. Sleeve gastrectomy: a restrictive procedure? Obes. Surg. 17, 57–62 (2007). S3. Weiner, R. A. et al. Laparoscopic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes. Surg. 17, 1297–1305 (2007). S4. Yehoshua, R. T. et al. Laparoscopic sleeve gastrectomy—volume and pressure assessment. Obes. Surg. 18, 1083–1088 (2008). S5. Melissas, J. et al. Sleeve gastrectomy-a “food limiting” operation. Obes. Surg. 18, 1251–1256 (2008). S6. Arias, E., Martinez, P. R., Ka Ming Li, V., Szomstein, S. & Rosenthal, R. J. Mid-term follow-up after sleeve gastrectomy as a final approach for morbid obesity. Obes. Surg. 19, 544–548 (2009). S7. Bernstine, H. et al. Gastric emptying is not affected by sleeve gastrectomy—scintigraphic evaluation of gastric emptying after sleeve gastrectomy without removal of the gastric antrum. Obes. Surg. 19, 293–298 (2009). S8. Lakdawala, M. A., Bhasker, A., Mulchandani, D., Goel, S. & Jain, S. Comparison between the results of laparoscopic sleeve gastrectomy and laparoscopic Roux.-en-Y gastric bypass in the Indian population: a retrospective 1 year study. Obes. Surg. 20, 1–6 (2010). S9. Himpens, J., Dobbeleir, J. & Peeters, G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann. Surg. 252, 319– 324 (2010). S10. Howard, D. D., Caban, A. M., Cendan, J. C. & Ben-David, K. Gastroesophageal reflux after sleeve gastrectomy in morbidly obese patients. Surg. Obes. Relat. Dis. 7, 709–713 (2011). S11. Kehagias, I., Karamanakos, S. N., Argentou, M. & Kalfarentzos, F. Randomized clinical trial of laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the management of patients with BMI <50 kg/m2. Obes. Surg. 21, 1650–1656 (2011). S12. Chopra, A. et al. Laparoscopic sleeve gastrectomy for obesity: can it be considered a definitive procedure? Surg. Endosc. 26, 831–837 (2012). S13. Carter, P. R. et al. Association between gastroesophageal reflux disease and laparoscopic sleeve gastrectomy. Surg. Obes. Relat. Dis. 7, 569–572 (2011). S14. Petersen, W. V. et al. Functional importance of laparoscopic sleeve gastrectomy for the lower esophageal sphincter in patients with morbid obesity. Obes. Surg. 22, 360–366 (2012). S15. Braghetto, I. et al. Is laparoscopic sleeve gastrectomy an acceptable primary bariatric procedure in obese patients? Early and 5-year postoperative results. Surg. Laparosc. Endosc. Percutan. Tech. 22, 479–486 (2012). S16. Rawlins, L., Rawlins, M. P., Brown, C. C. & Schumacher, D. L. Sleeve gastrectomy: 5-year outcomes of a single institution. Surg. Obes. Relat. Dis. 9, 21–25 (2013). S17. Peterli, R. et al. Early results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS): a prospective randomized trial comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. Ann. Surg. 258, 690–694 (2013). S18. DuPree, C. E., Blair, K., Steele, S. R. & Martin, M. J. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease: a national analysis. JAMA Surg. 149, 328–334 (2014). S19. Del Genio, G. et al. Sleeve gastrectomy and development of “de novo” gastroesophageal reflux. Obes. Surg. 24, 71–77 (2014). S20. Sieber, P. et al. Five-year results of laparoscopic sleeve gastrectomy. Surg. Obes. Relat. Dis. 10, 243–249 (2014).