Routine Upper Gastrointestinal Fluoroscopy Before Laparoscopic Sleeve Gastrectomy: Is It Necessary?
Adolescent
Adult
Aged
Child
Female
Fluoroscopy
Gastrectomy
Hernia, Hiatal
/ complications
Humans
Laparoscopy
Male
Middle Aged
Obesity, Morbid
/ complications
Operative Time
Preoperative Care
Prevalence
Retrospective Studies
Sensitivity and Specificity
Treatment Outcome
Upper Gastrointestinal Tract
/ diagnostic imaging
Young Adult
Hiatal hernia
Laparoscopic sleeve gastrectomy
Preoperative
Swallow study
Upper gastrointestinal fluoroscopy
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
pubmed:
24
2
2019
medline:
23
4
2020
entrez:
24
2
2019
Statut:
ppublish
Résumé
Controversy exists regarding the clinical utility of routine preoperative upper gastrointestinal (GI) fluoroscopy in morbid obese patients undergoing laparoscopic sleeve gastrectomy (LSG). The aim of our study was to determine the efficacy of these studies in detecting hiatal hernias (HH). The institution's prospectively maintained, IRB-approved database was retrospectively queried to identify all consecutive patients who underwent LSG between 2011 and 2017. All patients underwent routine preoperative upper GI fluoroscopy. Reports from all imaging studies were retrospectively reviewed and compared to the presence of an intraoperative HH. During the study period, a total of 1810 patients (854 males, 956 females) underwent LSG at our institution. Mean age was 40.95 ± 13 years (range 11-75), and mean BMI was 42.8 ± 5 kg/m Routine preoperative upper GI fluoroscopy holds a low sensitivity for HH detection. Health policy regulators should consider omitting this exam from routine preoperative evaluation for bariatric patients.
Sections du résumé
BACKGROUND
Controversy exists regarding the clinical utility of routine preoperative upper gastrointestinal (GI) fluoroscopy in morbid obese patients undergoing laparoscopic sleeve gastrectomy (LSG). The aim of our study was to determine the efficacy of these studies in detecting hiatal hernias (HH).
METHODS
The institution's prospectively maintained, IRB-approved database was retrospectively queried to identify all consecutive patients who underwent LSG between 2011 and 2017. All patients underwent routine preoperative upper GI fluoroscopy. Reports from all imaging studies were retrospectively reviewed and compared to the presence of an intraoperative HH.
RESULTS
During the study period, a total of 1810 patients (854 males, 956 females) underwent LSG at our institution. Mean age was 40.95 ± 13 years (range 11-75), and mean BMI was 42.8 ± 5 kg/m
CONCLUSION
Routine preoperative upper GI fluoroscopy holds a low sensitivity for HH detection. Health policy regulators should consider omitting this exam from routine preoperative evaluation for bariatric patients.
Identifiants
pubmed: 30796613
doi: 10.1007/s11695-019-03777-9
pii: 10.1007/s11695-019-03777-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1704-1708Commentaires et corrections
Type : CommentIn
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