On the other hand, an additional recent gastric sleeve database from Egypt [37] investigating the relationship among Hp, sleeve surgery, and gastroesophageal reflux, in a total of 176 specimens being reviewed, found a higher Hp prevalence (39%) without GA, IM, or association with DM, hyperlipidemia, and arterial hypertension. The gene discussed is HP; the disease is gastroesophageal reflux disease.