Influence of Helicobacter pylori infection on gastrointestinal symptoms and complications in bariatric surgery patients: a review and meta-analysis

Smelt, Hendrika J.M.; Smulders, J. F.; Gilissen, Lennard P L; Said, M.; Ugale, Surendra; Pouwels, Sjaak

doi:10.1016/j.soard.2018.06.020

Cited by 14 publications

(10 citation statements)

References 25 publications

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“… H. pylori eradication prior to bariatric surgery has been suggested to avoid postoperative complications, although the clinical evidence is scarce ( 13 , 14 ). However, to the best of our knowledge, there is no study that has evaluated the impact of the presence of H. pylori , not detected before bariatric surgery, on the metabolic response to surgery.…”

Section: Discussionmentioning

confidence: 99%

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Influence of Factors Altering Gastric Microbiota on Bariatric Surgery Metabolic Outcomes

et al. 2021

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Section: Discussionmentioning

confidence: 99%

“…A matter of debate is whether H. pylori colonization could be implicated in postoperative complications like perforations and ulcers after bariatric surgery ( 13 , 14 ). However, there is no information about metabolic outcomes after bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

Influence of Factors Altering Gastric Microbiota on Bariatric Surgery Metabolic Outcomes

et al. 2021

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“…Another meta-analysis demonstrated that eradication of H. pylori decreased the risk of marginal ulceration, but the rates still remained high (1.5%-18.8% following eradication vs 0.5%-31.2% in the non-eradicated group). The authors acknowledged the methodological limitation in many of the studies included in the meta-analysis[ 147 ]. Efficacy of H. pylori treatment in preventing complications (especially after RYGB) needs further assessment in well-designed trials.…”

Section: Gastrointestinal Evaluationmentioning

confidence: 99%

Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery

Bhattacharya¹,

Kalra²,

Kapoor³

et al. 2021

WJD

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Diabetes mellitus (DM) and obesity are interrelated in a complex manner, and their coexistence predisposes patients to a plethora of medical problems. Metabolic surgery has evolved as a promising therapeutic option for both conditions. It is recommended that patients, particularly those of Asian origin, maintain a lower body mass index threshold in the presence of uncontrolled DM. However, several comorbidities often accompany these chronic diseases and need to be addressed for successful surgical outcome. Laparoscopic Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (LSG) are the most commonly used bariatric procedures worldwide. The bariatric benefits of RYGB and LSG are similar, but emerging evidence indicates that RYGB is more effective than LSG in improving glycemic control and induces higher rates of long-term DM remission. Several scoring systems have been formulated that are utilized to predict the chances of remission. A glycemic target of glycated hemoglobin < 7% is a reasonable goal before surgery. Cardiovascular, pulmonary, gastrointestinal, hepatic, renal, endocrine, nutritional, and psychological optimization of surgical candidates improves perioperative and long-term outcomes. Various guidelines for preoperative care of individuals with obesity have been formulated, but very few specifically focus on the concerns arising from the presence of concomitant DM. It is hoped that this statement will lead to the standardization of presurgical management of individuals with DM undergoing metabolic surgery.

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“…[6][7][8][9] Los datos en cuanto a la relación entre el H. pylori, la obesidad y las complicaciones postoperatorias son controversiales. [10][11][12][13][14] La ASGE (American Society for Gastrointestinal Endoscopy) y la ASMBS (American Society for Metabolic and Bariatric Surgery) recomiendan el testeo y erradicación del H. pylori pre-cirugía bariátrica en forma individualizada. 15 Las guías europeas recomiendan el testeo de H. pylori previo a todas las cirugías bariátricas.…”

Section: Abstract Helicobacter Pylori Obesity Bariatric Surgery Preoperative Endoscopyunclassified

“…El estudio fue aprobado por el Comité de Revisión Institucional del hospital y seguido de acuerdo a la Declaración de Helsinki. La determinación de la erradicación del H. pylori fue realizada 6-8 semanas luego del tratamiento mediante el test del aire espirado con 13 C-Urea (Tau-Kit, Bacon). La adherencia y efectos adversos fueron evaluados al final del tratamiento mediante entrevista directa y autorreporte por el paciente.…”

Section: Materials Y Métodosunclassified

Erradicación del Helicobacter pylori en pacientes obesos pre-cirugía bariátrica

Laudanno¹,

Ahumaran²,

Thome³

et al. 2020

Acta gastroenterol. latinoam.

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Many bariatric surgeons recommend routine Helicobacter pylori (H. pylori) screening as a part of the workup for bariatric surgery. Some studies suggested that obese patients have a lower eradication rate and the Body Mass Index could be independent risk factor for this failure. Objective. To evaluate the H. pylori eradication of a 14 days Quadruple Concomitant therapy in obese patients undergoing bariatric surgery compared against a control group. Material and Methods. Prospective study included 76 patients undergoing bariatric surgery and 75 control patients with a normal BMI and dyspepsia. Results. In the obese group, the eradication rate was 69% whereas in the control group was 89%. p < 0.05, Odds ratio 3.18 (CI 1.35-7.45). The distribution of age, gender, smoking and diabetes did not differ significantly between the two groups. Conclusions. Obese patients showed a significantly lower eradication of H. pylori than controls to a two weeks Quadruple Concomitant therapy.

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Influence of Helicobacter pylori infection on gastrointestinal symptoms and complications in bariatric surgery patients: a review and meta-analysis

Cited by 14 publications

References 25 publications

Influence of Factors Altering Gastric Microbiota on Bariatric Surgery Metabolic Outcomes

Influence of Factors Altering Gastric Microbiota on Bariatric Surgery Metabolic Outcomes

Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery

Erradicación del Helicobacter pylori en pacientes obesos pre-cirugía bariátrica

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