Is preoperative gastroscopy necessary before sleeve gastrectomy and Roux-en-Y gastric bypass?

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Tuure SaarinenAnne Juuti

Abstract

Consensus on the necessity of esophagogastroduodenoscopy (EGD) before bariatric surgery is lacking. Recommendations and practices vary by country and unit. Several reports have expressed concerns on gastroesophageal reflux disease (GERD) and its consequences after sleeve gastrectomy (SG) and the risk of leaving a premalignant lesion in the excluded stomach after Roux-en-Y gastric bypass (RYGB). We explored the number and types of clinically significant findings in preoperative EGDs and how they associate with preexisting GERD-symptoms (SG) and premalignant lesions (RYGB). We also studied how many reoperations were performed due to postoperative GERD in SG-patients. University hospital. We investigated preoperative EGD-findings and gastrointestinal symptoms before bariatric surgery in all patients with a primary bariatric operation in our unit between December 2007 and May 2016. We performed 1474 operations: 1047 (71.0%) RYGB, 407 (27.6%) SG, and 20 (1.4%) others. One thousand two hundred seventy-five (86.5%) preoperative EGD reports were analyzed: 647 (50.7%) EGDs were completely normal. Altogether, 294 patients (23.0% of total) had a clinically significant finding that was relevant for SG (hiatal hernia, esophagitis, Barrett's...Continue Reading

Citations

Nov 14, 2019·Surgical Endoscopy·P NauUNKNOWN SAGES Foregut Task Force White Paper
Jan 22, 2020·Current Treatment Options in Gastroenterology·Mohamad I ItaniVivek Kumbhari
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
Feb 2, 2019·World Journal of Gastrointestinal Endoscopy·Radwan KassirPierre-Philippe Garnier
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
Jun 3, 2021·Medicina·Ramon VilallongaManel Armengol Carrasco

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