Does helicobacter pylori infection impact reflux symptoms after sleeve gastrectomy? A pilot study using patient reported outcome measures (PROMs).

Background: The association between Helicobacter pylori (HP) infection and gastrointestinal symptoms after metabolic and bariatric surgery (MBS) is poorly understood. While sleeve gastrectomy (SG) can exacerbate reflux, there is limited literature evaluating the impact of HP infection on post-SG symptoms. We hypothesize that HP-positive SG patients will experience worse post-operative reflux and eating-related (ER) symptoms.