Preoperative Endoscopic Screening for Laparoscopic Roux-en-Y Gastric Bypass has a Low Yield for Anatomic Findings

Abstract

Significant findings at screening EGD were found in 12% of patients. While EGD may be low-yield, the findings could be useful in guiding clinical decision making.

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

“…An older age had been found by some authors to be significantly associated with abnormal OGD findings [7,9]. Other authors have failed to show this association or to identify any other variables significantly associated with abnormal OGD results [5,35]. In our study, univariate and multivariate analysis identified older age, the presence of reflux symptoms and the use of NSAIDs to be significantly associated with clinically significant group 2 lesions.…”

“…This lack of correlation was consistently seen in several reports [5,35]. Previous reports had attempted to identify predictors that might help select a subgroup of patients who would benefit more from screening OGD.…”

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

“…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) .…”

“…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. Endoscopic findings were: esophagitis in 3.7%; Barrett's esophagus in 3.7%; gastric ulcer and/or erosive gastritis in 3.2%; duodenal ulcer in 0.7% and gastric carcinoid tumor in 0.3%.…”

Mortality, weight loss and quality of life of patients with morbid obesity: evaluation of the surgical and medical treatment after 2 years

“…This index is obtained by dividing the weight in kg by the square of the height in meters (32) , and a BMI over 40 kg/m 2 is pronounced as morbid obesity (53) . In the year 2000, one-third of the population of the USA was overweight or obese (13,36,53) . More than 400,000 people die every year due to complications of obesity which is along with tobacco, the two leading causes of death in that country (20,52) .…”