Preoperative Upper-GI Endoscopy Prior to Bariatric Surgery: Essential or Optional?

Bariatric surgery Barrett’s esophagus GERD Perioperative management Preoperative endoscopy

Journal

Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714

Informations de publication

Date de publication:
Jun 2020
Historique:
pubmed: 26 2 2020
medline: 15 4 2021
entrez: 26 2 2020
Statut: ppublish

Résumé

The role of preoperative upper-gastrointestinal (GI) gastroscopy has been discussed with controversy in bariatric surgery. The aim of this study was to evaluate the incidence of upper-GI pathologies detected via endoscopy prior to bariatric surgery along with their clinical significance for patients' management. In our single center prospectively established database of obese patients, who underwent bariatric surgery from January 2011 to December 2017, we retrospectively analyzed the perioperative endoscopic findings along with their influence on patients' management. In total, 636 obese patients with median BMI (body mass index) of 49 kg/m Preoperative upper-GI endoscopy identifies a wide range of abnormal endoscopic findings in obese patients, which may have a significant impact on decision-making, particularly regarding the most suitable bariatric procedure and the appropriate follow-up. Therefore, preoperative upper-GI endoscopy should be considered in all obese patients prior to bariatric procedure.

Identifiants

pubmed: 32096015
doi: 10.1007/s11695-020-04485-5
pii: 10.1007/s11695-020-04485-5
pmc: PMC8566420
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2076-2084

Commentaires et corrections

Type : ErratumIn
Type : ErratumIn

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Auteurs

Yusef Moulla (Y)

Department of Abdominal, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany. yusef.moulla@medizin.uni-leipzig.de.
Integrated Research and Treatment Center (IFB) Adiposity Diseases, Leipzig, Germany. yusef.moulla@medizin.uni-leipzig.de.

Orestis Lyros (O)

Department of Abdominal, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany.

Matthias Mehdorn (M)

Department of Abdominal, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany.

Undine Lange (U)

Department of Abdominal, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany.
Integrated Research and Treatment Center (IFB) Adiposity Diseases, Leipzig, Germany.

Haitham Hamade (H)

Department of Abdominal, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany.

Rene Thieme (R)

Department of Abdominal, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany.

Albrecht Hoffmeister (A)

Clinic for Gastroenterology, Department of Internal Medicine, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany.

Jürgen Feisthammel (J)

Clinic for Gastroenterology, Department of Internal Medicine, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany.

Matthias Blüher (M)

Integrated Research and Treatment Center (IFB) Adiposity Diseases, Leipzig, Germany.

Boris Jansen-Winkeln (B)

Department of Abdominal, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany.

Ines Gockel (I)

Department of Abdominal, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany.

Arne Dietrich (A)

Department of Abdominal, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstrasse 20, D-04103, Leipzig, Germany.
Integrated Research and Treatment Center (IFB) Adiposity Diseases, Leipzig, Germany.

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