Is Preoperative Upper Gastrointestinal Endoscopy in Obese Patients Undergoing Bariatric Surgery Mandatory? An Asian Perspective

Lee, June; Wong, SK; Liu, Shirley Yuk‐Wah; Ng, Enders K.

doi:10.1007/s11695-016-2243-8

Cited by 33 publications

(26 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5 Preoperative EGD is easier for screening for premalignant lesions compared to after surgery, because of limited space for endoscopic manipulation in the post-operative state. 4 In fact, the tumor was not that easily seen on endoscopy in this case. There have been only a few reports describing upper gastrointestinal cancers after bariatric surgery.…”

Section: Discussionmentioning

confidence: 62%

See 1 more Smart Citation

A case of gastric cancer after sleeve gastrectomy

Yamashita

Tan

Lim

et al. 2019

Asian J Endoscop Surgery

View full text Add to dashboard Cite

There is concern over how to survey the remnant upper gastrointestinal tract, as well as what to do if a patient subsequently develops an upper gastrointestinal cancer following bariatric surgery. We hereby report a case of gastric cancer arising 8 years after a laparoscopic sleeve gastrectomy (LSG). The patient, a 42 year-old woman, was diagnosed with a gastric cancer via esophagogastroduodenoscopy (EGD). As such, she underwent a laparoscopic total gastrectomy with lymphadenectomy. The final histopathology was that of a poorly differentiated adenocarcinoma with signet-ring cells without lymph node metastases (staging pT4aN0). The background gastric mucosa displayed no Helicobacter pylori. There have only been a few reported cases of gastric cancer after sleeve gastrectomy. Nevertheless, it may be wise to consider performing EGD at regular intervals after bariatric surgery, especially in Asia. In this regard, LSG holds an advantage over Roux-en-Y gastric bypass with respect to the feasibility of surveillance of the remnant stomach.

show abstract

Section: Discussionmentioning

confidence: 62%

“…If the EGD shows a hiatus hernia, a hiatus hernia repair can be simultaneously performed with the SG. 4 Preoperative EGD is important in order to detect gastric cancer as well.…”

Section: Discussionmentioning

confidence: 99%

A case of gastric cancer after sleeve gastrectomy

Yamashita

Tan

Lim

et al. 2019

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

“…The prevalence of abnormal EGD findings in morbidly obese patients ranged from 30 % to 89.7 % 1 . The most commonly reported abnormalities were gastritis (13.6 – 28.7 %), hiatal hernias (9 – 40 %), and esophagitis (9.2 – 17 %).…”

Section: Discussionmentioning

confidence: 99%

“…Morbid obesity has been associated with a number of gastrointestinal diseases. It has been shown to be an important risk factor in the development of gastroesophageal reflux disease (GERD), erosive esophagitis, and hiatal hernia 1 . Upper digestive diseases are 2 – 3 times more common in obese than in normal weight individuals, including erosive esophagitis, gastroesophageal reflux, hiatal hernia, Barrett’s esophagus, and Helicobacter pylori ( H. pylori ) infection 2 .…”

Section: Introductionmentioning

confidence: 99%

Role of routine upper endoscopy before bariatric surgery in the Middle East population: a review of 1278 patients

et al. 2018

View full text Add to dashboard Cite

Introduction The routine use of preoperative endoscopy for patients undergoing bariatric surgery is controversial. Although many surgeons find it unnecessary, others still consider it a mandatory tool in preoperative assessment. Patients and methods We reviewed the medical records of all patients who had undergone preoperative endoscopy before bariatric surgery in Rashid Hospital between January 2013 and June 2016. The patients were divided into three groups: Group 0 included patients with normal endoscopy; Group 1 included patients with abnormalities that did not affect the timing or type of procedure; Group 2 included patients with abnormalities that had a direct impact on the procedure. Results The files of 1473 patients were reviewed. Endoscopy results were not present in 195 files, so those patients were excluded, and the remaining 1278 files were included. The mean age of patients was 41.3 ± 12.7 years, 61 % were female and 39 % were male. The mean body mass index (BMI) was 43.7 ± 8 kg/m 2 . Endoscopy was normal in 10.6 % of patients and abnormal in 89.4 %. The most common abnormalities were gastritis, positive Campylobacter-like organism test (CLO test), gastroesophageal reflux disease (GERD) with esophagitis and hiatal hernia. Group 0 included 10.6 % of patients (n = 135), Group 1 included 25.6 % of patients (n = 327), while Group 2 included 63.8 % of patients (n = 816). Conclusion Routine endoscopy seems to play an important part in the preoperative preparation of patients planned for bariatric surgery in the Middle East population. Further studies or meta-analysis could help in building up clear solid evidence and guidelines that could be approved by international bariatric associations with regard to indications for preoperative upper endoscopy in bariatric patients.

show abstract

“…A body mass index (BMI) of 40 kg/m 2 is considered as a cutoff for morbid obesity. Obesity has been linked to a variety of gastrointestinal diseases and is a significant risk factor for the progression of diseases such as gastro-oesophageal reflux disease, diabetes, cardiovascular episodes, cancers, obstructive sleep apnoea, and gallbladder and liver diseases [2]. Bariatric surgery is acknowledged as a successful treatment modality for obesity in appropriately selected group of patients.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of Preoperative Trans-Abdominal Ultrasound Prior to Bariatric Surgery

Nagarajan

Gupta

Nasta

et al. 2020

SN Compr. Clin. Med.

View full text Add to dashboard Cite

An enlarged left lobe of liver can complicate bariatric surgery. Preoperative ultrasound of the abdomen is routinely performed in bariatric patients to measure the liver, particularly the left lobe, as well as to record any ancillary findings such as gallstones. Our study aims to evaluate the reliability of ultrasound in evaluating the craniocaudal length of the left lobe of the liver visa -vis intraoperative measurements. It also aims to assess the impact of ancillary findings detected on ultrasound, on the pre-surgical preparation and followup of such patients. Forty patients who were to undergo bariatric surgery in our hospital between June 2018 and May 2019 were included in this study. All of these patients underwent preoperative ultrasound. The measurements of the left lobe of liver evaluated on ultrasound were compared with the intraoperative measurements. Mean preoperative BMI for the forty patients was 41.47 kg/m 2. On applying the paired t test, the left liver lobe measurements calculated by our ultrasound technique correlated with intraoperative measurements. The left liver lobe length measured less than 15 cm in all 40 patients. Ultrasound detected ancillary findings in 8 (20%) patients. Ultrasound showed fatty infiltration of liver in approximately 80% of the patients with a trend towards increasing incidence of fatty change with increasing BMI. Our study showed that left liver lobe measurements calculated by preoperative ultrasound correlate with intraoperative measurements. Ancillary ultrasound findings helped the surgeon in preparing for the bariatric surgery and may modify the follow-up protocol in such patients.

show abstract

Is Preoperative Upper Gastrointestinal Endoscopy in Obese Patients Undergoing Bariatric Surgery Mandatory? An Asian Perspective

Abstract: Significant endoscopic abnormalities are common among obese Chinese patients which may delay or change the surgical plan. The negative predictive value in low-risk patients was not strong. We therefore recommend routine preoperative endoscopy for all patients.

Cited by 33 publications

References 37 publications

A case of gastric cancer after sleeve gastrectomy

A case of gastric cancer after sleeve gastrectomy

Role of routine upper endoscopy before bariatric surgery in the Middle East population: a review of 1278 patients

Usefulness of Preoperative Trans-Abdominal Ultrasound Prior to Bariatric Surgery

Contact Info

Product

Resources

About