Importance of Routine Preoperative Upper GI Endoscopy: Why All Patients Should Be Evaluated?

Muñóz, Rodrigo; Ibáñez, Luis; Salinas, José; Escalona, Alex; Pérez, Gustavo; Pimentel, Fernando; Guzmán, Sergio; Boza, Camilo

doi:10.1007/s11695-008-9673-x

Cited by 96 publications

(38 citation statements)

References 25 publications

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“…Muñoz et al (26) diagnosed UGI abnormalities in 46% in the obese patients, one of them with gastric cancer.…”

Section: Discussionmentioning

confidence: 99%

“…The rationale for performing UGI in the candidates to bariatric surgery is to detect and treat lesions that might potentially lead to complications in the immediate postoperative period, or result in diseases in the months or years following RYGBP surgery (25,26) . Eradication of the H. pylori as a routine in the preoperative of bariatric surgery is still debated and scarce researches were performed in regards the histology of gastric mucosa (2,7,11,23,25,26,30,33,34,35) .…”

Section: Discussionmentioning

confidence: 99%

“…Eradication of the H. pylori as a routine in the preoperative of bariatric surgery is still debated and scarce researches were performed in regards the histology of gastric mucosa (2,7,11,23,25,26,30,33,34,35) . Mong et al (25) studied 272 patients who were candidates to bariatric surgery, in which 33 (12%) showed lesions in the upper digestive tract.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of upper digestive endoscopy and gastric histopathology findings in morbidly obese patients

Dietz¹,

Ulbrich-Kulcynski

Souto³

et al. 2012

Arq. Gastroenterol.

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“…Muñoz et al (26) diagnosed UGI abnormalities in 46% in the obese patients, one of them with gastric cancer.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of upper digestive endoscopy and gastric histopathology findings in morbidly obese patients

Dietz¹,

Ulbrich-Kulcynski

Souto³

et al. 2012

Arq. Gastroenterol.

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show abstract

“…According to World Health Organization estimation, there are over 500 million obese adults [BMI (body mass index)>30 kg/m 2 ] across the world (1). Obesity is known to increase susceptibility to several conditions including type 2 diabetes mellitus (DM), hypertension (HTN), dyslipidemia, coronary artery disease, some cancers, sleep apnea syndrome, gastroesophageal reflux disease (GERD) and esophageal motility disorders (2,3). Initial treatment of obesity includes diet, life-style changes, exercise and some medicines, but given the long-term outcomes, effective treatment appears to be achieved by bariatric surgery (4).…”

Section: Introductionmentioning

confidence: 99%

The importance of upper gastrointestinal endoscopy in morbidly obese patients

Baysal¹,

Kayar²,

Danalıoğlu³

et al. 2015

Turk J Gastroenterol

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Background/Aims: Obesity is an epidemic and its prevelance and number of patients underwent bariatric surgery continue to increase worldwide. This study aimed to evaluate endoscopic findings and co-morbidities, to investigate the prevelance of Helicobacter pylori (H. pylori) infection and the relationship between body mass index (BMI) and gastroesophageal sphincter incompetency in obese patients. Materials and Methods: An upper gastrointestinal system endoscopy and mucosal sampling were performed in all patients hospitalized for bariatric surgery. Age, gender, BMI, co-morbidities and endoscopic findings were recorded. Gastroesophageal sphincter incompetency was classified according to Hill classification. The patients were divided into two groups: group I, endoscopically normal and group II, endoscopically abnormal. Results: Total 127 patients were enrolled into prospective study. Of these, 93 (%73.2) were female and the mean age was 38.9±12.5 years (range: 16-68). Abnormal endoscopic findings and H. pylori were detected in 80.4% and 44.9% of patients, respectively. In group II, patients were older, BMI higher and H. pylori more prevalent (all statistically significant). Diabetes mellitus, hypertension and dyslipidemia were the most frequent common co-morbidities. Rate of multiple co-morbidities were more common in group II. Gastroesophageal sphincter incompetency in total group was observed in a rate of 46.5% and was weakly correlated with BMI. Conclusion: Four-fifths of obese patients have at least one endoscopic abnormal finding, three fourth at least one co-morbidity and half H. pylori positivity. Upper gastrointestinal system endoscopy should be performed routinely in all patients to predict and prevent complications following bariatric surgery.

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“…However, the rationale for using routine endoscopy in asymptomatic patients before bariatric surgery remains contentious [3][4][5][6][7][8][9][10]. Several authors have now documented the lack of correlation between patient symptoms and endoscopic findings and have suggested that routine preoperative endoscopy might in fact be useful in detecting both lesions and inflammation [11,12]. Besides, there is no long-term data available after sleeve gastrectomy, reflux esophagitis and/or hiatal hernia may contraindicate this operation, especially since the absence of preoperative symptoms cannot be relied upon.…”

Section: Introductionmentioning

confidence: 99%

Should endoscopy be routinely performed for bariatric surgery candidates?

Çaycı¹,

Erdoğdu²,

Karaman³

et al. 2016

Eur Res J

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Objectives. The rationale for a routine endoscopy before bariatric surgery in asymptomatic patients remains controversial. The purpose of the present study was to compare, in a retrospective manner, the endoscopic findings of morbidly obese patients awaiting surgery with those of non-obese individuals. Methods. Between January 2014 and December 2014, preoperative endoscopic findings of 161 morbidly obese patients and 101 consecutive non-obese individuals were evaluated. Results. No significant differences were found between the two groups in terms of ulcer prevalence and the number of ulcers (p=0.120 and p=0.122, respectively). However, the frequency of bulbar ulcers was significantly higher in morbidly obese patients than in the nonobese (p=0.012). Furthermore, the ulcer activity score was significantly higher in morbidly obese patients (p=0.025). 84 patients underwent laparoscopic sleeve gastrectomy (LSG). Of those, 48 patients (57.1%) had Helicobacter pylori sero-positivity and 12 patients (14.3%) had peptic ulcer disease before surgery. H. pylori sero-positivity persisted in the resected gastric specimens of 33 patients (39.3%). Conclusion. The ulcer activation score in morbidly obese patients is higher -even when they are asymptomatic-than in non-obese individuals. Routine preoperative endoscopy should be considered in all bariatric surgery candidates to rule out pathologies such as hiatal hernia, extensive ulcers or malignant lesions which are the contraindications for a LSG.Eur Res J 2016;2(2):93-98

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Importance of Routine Preoperative Upper GI Endoscopy: Why All Patients Should Be Evaluated?

Abstract: Routine preoperative endoscopy detects different abnormalities which need specific approach prior to surgery. Preoperative endoscopy should be performed to all patients prior to surgery.

Cited by 96 publications

References 25 publications

Prevalence of upper digestive endoscopy and gastric histopathology findings in morbidly obese patients

Prevalence of upper digestive endoscopy and gastric histopathology findings in morbidly obese patients

The importance of upper gastrointestinal endoscopy in morbidly obese patients

Should endoscopy be routinely performed for bariatric surgery candidates?

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