Data were collected on clinical information, UGI endoscopic findings, Helicobacter pylori testing, and management. Abstract. In conclusion, endoscopy can have high diagnostic accuracy for preoperative HH in obese Asian patients, using intraoperative diagnosis as the reference standard. The sample was divided according to the initial body mass index (BMI) (> or 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. In addition to identifying patients who need preoperative medications, the preoperative upper endoscopy also provided valuable information regarding pouch size and anatomy. New York, New York) to identify all studies reporting the outcomes of preoperative EGD before any type of bariatric surgery. The 2008 guidelines … However, UGI is an unpleasant investigation for the patient and requires resources. It’s pretty much like taking a nap and waking up with a sore throat. Mentioning: 2 - Background: The role of preoperative upper-gastrointestinal endoscopy for bariatric surgery is still understood only with controversy. Effort, safety, and findings of routine preoperative endoscopic evaluation of morbidly obese patients undergoing bariatric surgery. Currently, the recommendation of a customized preoperative endoscopy prior to bariatric surgery is mainly due to the rise of gastrointestinal disorders in obese subjects which may impact the perioperative therapy or even the surgery itself (Lundell et al., 1999). In 2011, we introduced preoperative endoscopy to assess for hiatus hernia or evidence of oesophagitis in conjunction with an assessment of gastro‐oesophageal reflux symptoms for all patients undergoing bariatric surgery with a view to avoid sleeve gastrectomy for these patients. With the numbers of bariatric procedures being performed rising annually endoscopists are now more likely than ever to encounter this patient cohort on routine diagnostic lists. Aims. This thesis aims at finding out how often significant findings are detected in preoperative EGDS and evaluating whether preoperative EGDS 37. Materials and Methods: We retrospectively reviewed preoperative screening UGI endoscopy reports of 283 patients who underwent bariatric surgery from February 2012 to August 2014. Method: We conducted a retrospective analysis of electronic medical record (EMR) data from March 2015- January 2019 for patients who had an EGD in preparation for bariatric surgery. A retrospective chart review was performed between July 2014 and June 2016 of patients undergoing routine preoperative endoscopy before primary bariatric surgery. This project aimed to evaluate how often information from pre-operative EGD would alter a planned bariatric procedure. Flexible endoscopy is an important investigative tool for upper gastrointestinal disorders (GIT)., It has been shown to be essential in preoperative workup for patients planned for bariatric surgery., Our study sample is small due to the lack of popularity of such surgeries in weight reduction; in addition to that, all the patients did not undergo EGD preoperatively. Table 2 Systematic review of preoperative EGD findings Investigator Year Number Level of Evidence Age % male Pre-op BMI Group 1 Group 2 - "Preoperative Endoscopy Prior to Bariatric Surgery: a Systematic Review and Meta-Analysis of the Literature" You don’t want to go through the hard work of completing the bariatric process only to find an issue on the day of your surgery and have it be canceled. The European Association for Endoscopic Surgery recommends routine EGD or radiologic evaluation with a barium meal before bariatric surgery, whereas the Society of American Gastrointestinal and Endoscopic Surgeons recommends EGD only when clinical suspicion of a gastric pathology exists. The role of upper endoscopy in the preoperative evaluation of patients who are being considered for bariatric surgery is to detect upper GI abnormalities, even in asymptomatic patients. The role of endoscopy in bariatric surgery begins well before a … There is frequent debate regarding the role of preoperative endoscopy (EGD) prior to bariatric surgery. Methods: Between March 2013 and March 2015, a series of obese patients, who underwent esophagogastroduodenoscopy (EGD) before bariatric surgery (sleeve gastrectomy or Roux-en-Y … Preoperative Upper-GI Endoscopy Prior to Bariatric Surgery: Essential or Optional? The role of preoperative upper-gastrointestinal endoscopy for bariatric surgery is still understood only with controversy. 2008; 4(6):709–712. Although colonic pathology exists in bariatric patients as it does in the general population, this chapter will focus on the role of endoscopy involving bariatric surgical anatomy of the foregut. JAMA. Bariatric surgery and long-term cardiovascular events. Kuper MA, Kratt T, Kramer KM, et al. Getting an upper endoscopy before bariatric surgery may be necessary to check for issues and pre-operative planning. In Finland, upper GI endoscopy (UGI) prior to bariatric surgery is routine in all but one hospital performing bariatric surgery. We aim to investigate the prevalence of clinically significant OGD findings in a primarily Chinese obese population and identify factors that predict a normal screening OGD. The aim of this study was to evaluate the prevalence of endoscopic findings and its impact on perioperative management.Patients who underwent bariatric surgery at our center between 2010 and 2013 were systematically analyzed from a prospective database.Two … whether a preoperative esophago-gastro-duodenoscopy (EGDS) should be done routinely prior to bariatric surgery and how frequently significant findings are detected. Preoperative Endoscopy Prior to Bariatric Surgery: a Systematic Review and Meta-Analysis of the Literature. Loewen M, Giovanni J, Barba C. Screening endoscopy before bariatric surgery: a series of 448 patients. Sjöström L, Peltonen M, Jacobson P, Sjöström CD, Karason K, Wedel H, et al. Some centers perform EGD routinely in all patients; others perform EGD selectively. 36. Surg Obes Relat Dis. The role of routine preoperative endoscopy before primary weight loss surgery remains controversial. ConclusionPreoperative 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, we recommend routine gastroscopy about 2-4 weeks prior to surgery. Background: The aim of the present study was to investigate and discuss the incidence of gastric anomalies and pathologies among bariatric surgery patients who underwent preoperative endoscopic evaluation. Routine preoperative endoscopy in patients undergoing bariatric surgery - Surgery … The aim of this study was to evaluate the prevalence of endoscopic findings and its impact on perioperative management. Bariatric surgery is an effective treatment for obesity and its metabolic related disorders. There is a debate about the utility of routine preoperative esophagogastroduodenoscopy (p-EGD) screening of patients undergoing bariatric surgery (BS) [1, 2]. Preoperative upper endoscopy is useful before revisional bariatric surgery. The role of routine preoperative oesopha gogastroduodenoscopy (OGD) for all bariatric surgery candidates is controversial. BACKGROUND: There is debate regarding preoperative endoscopy (EGD) in patients undergoing bariatric surgery. Helicobacter pylori (HP) can be tested from blood and cannot be considered as an indication for UGI. Preoperative Endoscopy in the Evaluation of Patients Before Bariatric Surgery. Conclusions: Preoperative upper endoscopy provides valuable information before revisional laparoscopic bariatric surgery. who underwent bariatric procedures showed a high prevalence of gastrointestinal diseases with a significant impact on perioperative management in two thirds of the cases of bariatric patients who underwent preoperative upper GI endoscopy and therefore they recommend routine gastroscopy about 2-4 weeks prior to surgery [3]. Although many surgeons find it unnecessary, others still consider it a mandatory tool in preoperative assessment. The MeSH terms “bariatric surgery,” “endoscopy,” and “preoperative” were combined, and additional text words also searched on November 18, 2014. Parikh M, Liu J, Vieira D, Tzimas D, Horwitz D, Antony A, Saunders JK, Ude-Welcome A, Goodman A. Obes Surg, 26(12):2961-2966, 01 Dec 2016 Cited by: 9 articles | PMID: 27198238. Review Upper GI endoscopy is a procedure in which a doctor uses an endoscope—a long, flexible tube with a camera—to see the lining of your upper GI tract.A gastroenterologist, surgeon, or other trained health care provider performs the procedure, most often while you receive light sedation.Your doctor may also call the procedure an EGD or esophagogastroduodenoscopy. Methods: A retrospective analysis was carried out of our electronic prospective bariatric surgery patient database, including all patients who underwent SG between January 2007 and January 2017. BACKGROUND: This study evaluates the diagnostic yield of esophago-gastroduodenoscopy (EGD) before bariatric surgery and its influence on the planned surgery. KEY WORDS: Bariatric surgery, Preoperative endoscopy, Upper digestive symptoms Therefore, patients are willing to undergo bariatric surgery as a solution for obesity 1 . 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