Is Elective Gastroscopy Prior to Bariatric Surgery in an Asian Cohort Worthwhile?

Obesity Surgery
Jing Yu NgAsim Shabbir

Abstract

The preoperative use of gastroscopy for patients undergoing bariatric surgery remains controversial. We aim to evaluate the diagnostic yield of gastroscopy and the clinical significance in asymptomatic individuals undergoing bariatric surgery in Asia. We retrospectively reviewed the medical records of all patients undergoing gastroscopy prior to bariatric surgery at the National University Hospital and Khoo Teck Puat Hospital, Singapore, between Jan 2006 and June 2013. Gastroscopy findings were classified into four groups: group 1 (normal study), group 2 (abnormal findings that do not modify surgical approach), group 3 (abnormal findings that modify surgical approach) and group 4 (absolute contraindications to immediate surgery). During the study period, 208 asymptomatic individuals were evaluated by gastroscopy prior to bariatric surgery. Gastroscopy was normal in 70 (33.6 %). Group 2 comprised 67 (32.2 %) patients with mild gastritis or oesophagitis. Group 3 included 69 (33.2 %) patients diagnosed with erosive gastritis or oesophagitis, peptic ulcer disease, hiatal hernia or mass lesions. There were 2 patients (1.0 %) in group 4. One patient had a gastro-oesophageal junction adenocarcinoma, and 1 had a gastrointestinal stroma...Continue Reading

References

Mar 1, 1976·JAMA : the Journal of the American Medical Association·S E SilvisP Mandelstam
Oct 1, 1984·Annals of Internal Medicine·C P DooleyJ M Weiner
Jun 15, 1994·Annals of Internal Medicine·A NomuraM J Blaser
Sep 14, 1999·The American Journal of Gastroenterology·G D EslickN J Talley
Mar 1, 2002·Obesity Surgery·Michael KorenkovHans Troidl
Oct 31, 2003·Langenbeck's Archives of Surgery·K Miller, E Hell
Dec 8, 2004·Surgical Endoscopy·S SauerlandUNKNOWN European Association for Endoscopic Surgery
Dec 18, 2004·Obesity Surgery·Ravi N SharafChristine J Ren
Jun 3, 2005·The American Journal of Gastroenterology·Hashem B El-SeragLinda Rabeneck
Aug 3, 2005·Annals of Internal Medicine·Howard HampelHashem B El-Serag
Jan 28, 2010·Current Problems in Surgery·Robert B LimDaniel B Jones
May 12, 2012·The Lancet Oncology·Catherine de MartelMartyn Plummer

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