Abstract
The choice between performing routine and selective upper gastrointestinal endoscopy (UGE) before bariatric surgery remains controversial. This study aimed to evaluate the clinical significance of UGE before laparoscopic bariatric procedures. We enrolled 155 obese Japanese patients who underwent laparoscopic bariatric procedures at our institute and evaluated their endoscopic findings, such as reflux esophagitis (RE), hiatal hernia (HH), Barrett's esophagus, gastritis, duodenitis, gastroduodenal ulcer, gastric cancer, and polyps. Preoperative endoscopy revealed abnormal findings in 102 patients (66%), including gastritis in 57 (37%), HH in 51 (32%), RE in 27 (17%), benign gastric polyps in 16 (10%), duodenitis in 6 (4%), and Barrett's esophagus in 1 (0.6%). Two patients with definite HH were treated with simultaneous crural repair at the time of bariatric surgery. Duodenitis was graded as severe in three of these six patients and treated with a proton pump inhibitor before surgery. Eleven patients received therapy to eradicate Helicobacter pylori (H. pylori), either before or after the surgery. In summary, preoperative endoscopy changed the perioperative management for 16 of the 155 patients (10%). Routine UGE may be necessary ...Continue Reading
References
Nov 1, 1992·Gastrointestinal Endoscopy·A DhariwalP C Hayes
Oct 1, 1996·The American Journal of Surgical Pathology·M F DixonP Correa
Jul 14, 1999·Gut·L R LundellL Wallin
Mar 3, 2001·Cancer Causes & Control : CCC·A WolkH O Adam
Sep 24, 2004·Alimentary Pharmacology & Therapeutics·C GordonJ D Maxwell
Dec 8, 2004·Surgical Endoscopy·S SauerlandUNKNOWN European Association for Endoscopic Surgery
Mar 16, 2007·Obesity Surgery·Attila CsendesMarcelo Beltran
Feb 26, 2008·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Alessandro de Moura AlmeidaErivaldo Alves
Sep 16, 2008·Surgical Endoscopy·UNKNOWN SAGES Guidelines Committee
Feb 3, 2009·Journal of the American College of Surgeons·Ninh T NguyenJohn S Lane
Jul 28, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Michel GagnerRoss D Crosby
Nov 16, 2010·Helicobacter·Masahiro AsakaDavid Y Graham
Feb 27, 2014·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal
Mar 19, 2014·International Journal of Cardiology·Chun Shing KwokYoon K Loke
Aug 19, 2014·Lancet·Krishnan BhaskaranLiam Smeeth
Aug 6, 2015·Surgery·Mena BoulesMatthew Kroh
Sep 6, 2015·American Journal of Surgery·Jelmer E OorEric J Hazebroek
Oct 3, 2015·Obesity Surgery·John MelissasMirto Foletto
Jan 12, 2016·Obesity Surgery·Samuel R FernandesJosé Velosa
May 29, 2016·Obesity Surgery·June LeeEnders Kwok-Wai Ng
Jul 18, 2016·Obesity Surgery·Daniela ZanottiMarco Adamo
Sep 19, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Ricardo MohammedGintaras Antanavicius
Dec 7, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Hanaa N Dakour AridiBassem Y Safadi
Aug 5, 2017·Helicobacter·Momoko TsudaNaoya Sakamoto
Dec 12, 2017·Asian Journal of Endoscopic Surgery·Kohei UnoYoshimochi Kurokawa
Citations
Jul 23, 2020·Asian Journal of Endoscopic Surgery·Masayuki OhtaUNKNOWN Japan Consortium of Obesity and Metabolic Surgery (JCOMS)
Jul 28, 2020·Obesity Surgery·J A FernándezJ J Ruiz-Manzanera
Aug 15, 2020·Annals of the New York Academy of Sciences·Geraldine J OoiMatthew Read
Jun 14, 2020·Obesity Surgery·Ahmad AssaliaDavid Nocca
Oct 14, 2020·Obesity Surgery·Shiqi WangGang Ji
Jan 19, 2021·Obesity Surgery·Oliver M FisherWendy A Brown
Apr 21, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Guilherme M CamposUNKNOWN Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery
Feb 27, 2021·Journal of Pediatric Gastroenterology and Nutrition·Rachel Frenklak SivanOrith Waisbourd-Zinman