Correlation Between Pre and Postoperative Upper Digestive Endoscopy in Patients Who Underwent Roux-en-Y Gastrojejunal Bypass

Czeczko, Leticia Elizabeth Augustin; Cruz, Manuela Aguiar; Klostermann, Flávia Caroline; Czeczko, Nicolau Gregori; Nassif, Paulo Afonso Nunes; Czeczko, Alexandre Eduardo Augusto

doi:10.1590/0102-6720201600010009

Cited by 13 publications

(11 citation statements)

References 26 publications

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“…Considering the possible endoscopic alterations found in the UGE on patients undergoing bariatric surgery, research suggests a classification of endoscopic findings in the preoperative RYGB, reinforcing the importance of preoperative screening 5 .…”

Section: Discussionmentioning

confidence: 98%

Inflammatory Disorders Associated With Helicobacter Pylori in the Roux-en-Y Bypass Gastric Pouch

Chaves

Borges

Souza

et al. 2016

ABCD, arq. bras. cir. dig.

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Background: The prevalence of Helicobacter pylori in obese candidates for bariatric surgery and its role in the emergence of inflammatory lesions after surgery has not been well established. Aim: To identify the incidence of inflammatory lesions in the stomach after bariatric surgery and to correlate it with H. pylori infection. Methods: This is a prospective study with 216 patients undergoing Roux-en-Y gastric bypass. These patients underwent histopathological endoscopy to detect H. pylori prior to surgery. Positive cases were treated with antibiotics and a proton inhibitor pump followed by endoscopic follow-up in the 6th and 12th month after surgery. Results: Most patients were female (68.1%), with grade III obesity (92.4%). Preoperative endoscopy revealed gastritis in 96.8%, with H. pylori infection in 40.7% (88/216). A biopsy was carried out in 151 patients, revealing H. pylori in 60/151, related to signs of inflammation in 90% (54/60). In the 6th and 12th month after surgery, the endoscopy and the histopathological exam showed a normal gastric pouch in 84% of patients and the incidence of H. pylori was 11% and 16%, respectively. The presence of inflammation was related to H. pylori infection (p<0,001). Conclusion:H. pylori has a similar prevalence in both obese patients scheduled to undergo bariatric surgery and the general population. There is a low incidence of it in the 6th and 12th months after surgery, probably owing to its eradication when detected prior to surgery. When inflammatory disease is present in the new gastric reservoir it is directly related to H. pylori infection.

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Section: Discussionmentioning

confidence: 98%

Inflammatory Disorders Associated With Helicobacter Pylori in the Roux-en-Y Bypass Gastric Pouch

Chaves

Borges

Souza

et al. 2016

ABCD, arq. bras. cir. dig.

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“…[8,10] this may raise a question about the relation between obesity and chronic gastritis. A study by Clapp [13] found that chronic gastritis was present in 44% of patients and this percent was reduced after the operation, even in patients who underwent Roux-en-Y Gastric bypass Czeczko et al [14] found that chronic gastritis decreased to a lower extent after the operation.…”

Section: Discussion:-mentioning

confidence: 99%

Is It Necessary to Send the Resectedd Stomach During Laparoscopic Sleeve Gastrectomy for Pathological Examination?

Ibrahim¹,

Talha²,

Elmaghraby³

2018

IJAR

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Background: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric operation in Egypt. To the best of our experience there is no published data in Egypt regarding the results of Histopathological examination of the resected gastric specimen after LSG. Objective: To find the range of gastric pathologies in the resected specimens and trying to answer the question whether the resected specimen after LSG should be sent for Histopathological examination or not? Methods: Data were collected prospectively from the period from February 2014 till May 2017 and included 211 patients. LSG was performed by the bariatric team of our department using the same technique. The resected specimen was sent to the pathology department of our institute for pathological examination. Results: the mean age of the studied patients was 36 ± 11.8 years with mean BMI of 44.1 ± 4.7 Kg/m 2 , and female patients represents 67.8% of the studied patients. Chronic nonspecific gastritis was the most common Histopathological finding and was present in 52.1% of patients, normal histopathology was present in 25.6% of patients, and Helicobacter Pylori (HP) related gastritis was present in19.9 % of patients, gastrointestinal stromal tumor (GIST) was present in 4 (1.9%) cases, and we have 1 case of healed cicatrized ulcer. Conclusion: Benign lesions accounts for 98.1% of the studied patients signifying the non-importance of routine pathological examination of the resected specimen after LSG and should only be done in case of grossly suspected lesions. Preoperative esophagogastroduodenoscopy (EGD) may be advised before surgery.

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“…(eight patients, 16%, including 2% with a marginal ulcer) (13) . A recent study presented stenosis as the main finding in 35.5% of patients, with marginal ulcer being the second most common finding (n=9) (7) . In another series associating symptoms to specific findings, reports included normal surgical anatomy (31.6%), anastomotic stricture (52.6%), marginal ulcer (15.8%), unraveled non-absorbable sutures causing functional obstruction (4%) and gastro-gastric fistula (2.6%) (10) .…”

Section: Participantsmentioning

confidence: 95%

LONG-TERM POSTOPERATIVE ENDOSCOPIC FINDINGS AFTER GASTRIC BYPASS PROCEDURE: a co-occurrence analysis

Quadros¹,

Kaiser²,

Neto³

et al. 2016

Arq. Gastroenterol.

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-Background -A multitude of endoscopic findings post-gastric bypass procedures have been previously reported in the literature, but to our knowledge, no present rules exist that could guide clinicians regarding which findings should be actively sought, once an initial finding is identified. Objective -To identify co-occurrence patterns among endoscopic findings of patients having undergone past gastric bypass procedure. Methods -Our registry involves all consecutive patients undergoing an upper endoscopic evaluation after a gastric bypass procedure. We collected information on the presence of the endoscopic findings in post-gastric bypass surgery patients. Co-occurrence evaluation involved the use of intersection, cluster and item factor analyses.Results -A total of 396 endoscopic evaluations were made on 339 patients. Most patients were female (81.1%), with an average BMI of 31.88±6.7 at the time of endoscopy. Esophagitis was the most common isolated finding (35.3%). Endoscopic findings clustered around two groups, (1) the ring-related complications involving ring displacement, ring slips and gastric pouch, while (2) stenosis-related findings involved dilation and stenosis (P<0.01). Conclusion -While most endoscopic findings after gastric bypass endoscopic procedures are isolated, ring and stenosis-related clusters should be used as a set of rules by clinicians, as it might enhance their probability of finding co-occurring conditions.

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Correlation Between Pre and Postoperative Upper Digestive Endoscopy in Patients Who Underwent Roux-en-Y Gastrojejunal Bypass

Cited by 13 publications

References 26 publications

Inflammatory Disorders Associated With Helicobacter Pylori in the Roux-en-Y Bypass Gastric Pouch

Inflammatory Disorders Associated With Helicobacter Pylori in the Roux-en-Y Bypass Gastric Pouch

Is It Necessary to Send the Resectedd Stomach During Laparoscopic Sleeve Gastrectomy for Pathological Examination?

LONG-TERM POSTOPERATIVE ENDOSCOPIC FINDINGS AFTER GASTRIC BYPASS PROCEDURE: a co-occurrence analysis

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