Preoperative Endoscopy and Its Impact on Perioperative Management in Bariatric Surgery

Background: The role of preoperative upper-gastrointestinal endoscopy for bariatric surgery is still understood only with controversy. The aim of this study was to evaluate the prevalence of endoscopic findings and its impact on perioperative management. Methods: Patients who underwent bariatric surgery at our center between 2010 and 2013 were systematically analyzed from a prospective database. Results: Two hundred and twelve patients with a median body mass index of 50 kg/m2 (range 29-87) underwent 216 bariatric procedures at our center between 2010 and 2013. All patients received preoperative upper endoscopy. In 159 cases (75%), the endoscopy was performed at our center. These cases were included in this study. In 37 cases (23%), no abnormal findings were detected. In 122 cases (76%), upper endoscopy revealed pathologies. No further treatment was necessary in 24 cases (15%). Medical treatment was changed in 81 cases (51%). The operation was delayed due to medical treatment and re-endoscopy in 13 cases (8%). The surgical approach was changed in 4 cases (3%). Conclusion: Routinely performed preoperative endoscopy before bariatric surgery revealed a high prevalence of gastrointestinal diseases with a significant impact on perioperative management in two thirds of the cases. Therefore, we recommend routine gastroscopy about 2-4 weeks prior to surgery.

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The Role of Routine Upper Gastrointestinal Endoscopy Before Bariatric Surgery

Obesity Surgery ◽

10.1007/s11695-016-2056-9 ◽

2016 ◽

Vol 26 (9) ◽

pp. 2105-2110 ◽

Cited By ~ 16

Author(s):

Samuel R. Fernandes ◽

Liliane C. Meireles ◽

Luís Carrilho-Ribeiro ◽

José Velosa

Keyword(s):

Bariatric Surgery ◽

Gastrointestinal Endoscopy ◽

Upper Gastrointestinal Endoscopy ◽

Upper Gastrointestinal

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The Role of Routine Upper Gastrointestinal Endoscopy Before Bariatric Surgery (Response to Letter)

Obesity Surgery ◽

10.1007/s11695-016-2460-1 ◽

2016 ◽

Vol 27 (2) ◽

pp. 479-480

Author(s):

Samuel R. Fernandes ◽

Liliane C. Meireles ◽

Luís Carrilho-Ribeiro ◽

José Velosa

Keyword(s):

Bariatric Surgery ◽

Gastrointestinal Endoscopy ◽

Upper Gastrointestinal Endoscopy ◽

Upper Gastrointestinal

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EVALUATION OF UPPER GASTROINTESTINAL ENDOSCOPY IN PATIENTS UNDERGOING BARIATRIC SURGERY

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-6720201500s100012 ◽

2015 ◽

Vol 28 (suppl 1) ◽

pp. 39-42 ◽

Cited By ~ 4

Author(s):

Maurício Saab ASSEF ◽

Tiago Torres MELO ◽

Osvaldo ARAKI ◽

Fábio MARIONI

Keyword(s):

Bariatric Surgery ◽

Gastrointestinal Endoscopy ◽

Control Group ◽

Upper Gastrointestinal Endoscopy ◽

Upper Endoscopy ◽

Obese Patients ◽

Endoscopic Findings ◽

Asymptomatic Patients ◽

Significant Difference ◽

Upper Gastrointestinal

Background: Obesity has become epidemic, and is associated with greater morbidity and mortality. Treatment is multidisciplinary. Surgical treatment is a consistent resource in severe obesity. The indication of preoperative upper gastrointestinal endoscopy in asymptomatic patients is controversial; however, most studies recommend its implementation in all patients. Aim: To analyze endoscopic performance in patients who were in preoperative for bariatric surgery and compare them with control group. Method: A series of 35 obese patients in preoperative period for bariatric surgery compared with a control group of 30 patients submitted to upper endoscopy. There were analyzed clinical and endoscopic data. Results: The mean age of the group of patients was 43.54 years. Most individuals in the group of patients were female with median BMI of 47.26kg/m2and in control group 24.21 kg/m2. The majority of patients were asymptomatic. Upper endoscopy was altered in 81.25% of asymptomatic patients. Endoscopic findings in the patient group were 57.1% resulting from peptic ulcer disease and 34.3% associated with GERD. The analysis of endoscopic findings in patients showed no significant difference in relation of the control group. The prevalence of H. pylori infection was 60% in patients. Conclusion: It is recommended that the upper endoscopy should be made in all patients in the preoperative bariatric surgery period, although the degree of obesity is not related to a greater number of endoscopic findings. Obese patients do not have more endoscopic findings that non-obese individuals.

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The role of upper gastrointestinal endoscopy in treating postoperative complications in bariatric surgery

Journal of Interventional Gastroenterology ◽

10.4161/jig.20133 ◽

2012 ◽

Vol 2 (1) ◽

pp. 37-41 ◽

Cited By ~ 16

Author(s):

Richdeep S. Gill ◽

Kevin A. Whitlock ◽

Rachid Mohamed ◽

Koroush Sarkhosh ◽

Daniel W. Birch ◽

...

Keyword(s):

Bariatric Surgery ◽

Postoperative Complications ◽

Gastrointestinal Endoscopy ◽

Upper Gastrointestinal Endoscopy ◽

Upper Gastrointestinal

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Role of upper gastrointestinal endoscopy with routine standardized endoscopic biopsy in AIDS

Digestive Endoscopy ◽

10.1046/j.1443-1661.2002.00194.x ◽

2002 ◽

Vol 14 (4) ◽

pp. 152-155 ◽

Cited By ~ 2

Author(s):

Carlos A. Cappellanes ◽

Kiyoshi Hashiba ◽

Horus A. Brasil ◽

Marco A. D’Assunção ◽

Daniel Moribe ◽

...

Keyword(s):

Gastrointestinal Endoscopy ◽

Endoscopic Biopsy ◽

Upper Gastrointestinal Endoscopy ◽

Upper Gastrointestinal

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ISDE guidance statement: management of upper gastrointestinal endoscopy and surgery in COVID-19 outbreak

Diseases of the Esophagus ◽

10.1093/dote/doaa029 ◽

2020 ◽

Vol 33 (5) ◽

Cited By ~ 2

Author(s):

Hon Chi Yip ◽

Philip Chiu ◽

Cesare Hassan ◽

Giulio Antonelli ◽

Prateek Sharma

Keyword(s):

International Society ◽

Gastrointestinal Endoscopy ◽

Gastrointestinal Diseases ◽

Upper Gastrointestinal Endoscopy ◽

New Evidence ◽

Upper Gastrointestinal

SUMMARY This is an official guidance statement of The International Society of the Diseases of the Esophagus (ISDE) to address all the operators involved in management of patients affected by upper gastrointestinal diseases during COVID-19 pandemic. This guidance is based on the best available evidence to date and will be updated as new evidence becomes available.

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