The Role of Routine Upper Gastrointestinal Endoscopy Before Bariatric Surgery

Meireles, Liliane; Carrilho-Ribeiro, Luís; Velosa, José

doi:10.1007/s11695-016-2056-9

Cited by 24 publications

(11 citation statements)

References 27 publications

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“…Based on the results, the authors advise routine H. pylori eradication before bariatric surgeries. 35 These results were confirmed in a large retrospective cohort study, 36 in which 3.9% marginal ulceration was detected and associated in one-third of the cases with a H. pylori infection. The H. pylori infection was the strongest independent predictor of marginal ulceration, suggesting routine preventive eradication therapy to lower the ulceration incidence.…”

Section: Bariatric Surgerymentioning

confidence: 62%

“…According to these results, the only predictor of postoperative complications was endoscopic ulceration ( P =.01), and all the patients with gastroduodenal ulcers were infected with H. pylori . Based on the results, the authors advise routine H. pylori eradication before bariatric surgeries . These results were confirmed in a large retrospective cohort study, in which 3.9% marginal ulceration was detected and associated in one‐third of the cases with a H. pylori infection.…”

Section: Bariatric Surgerymentioning

confidence: 73%

“…Even in high prevalence areas, in this case in China, data concerning 213,495 patients with an overall H. pylori positivity of 36.2% show that over a 35 year period (1989-2014) 1 the prevalence of H. pylori infection declined in parallel with a decrease in PUD and an increase in reflux esophagitis. Surprisingly, however, there was also an increase in atrophic gastritis whereas no change in the number of diagnosed gastric and oesophageal cancers was identified.…”

Section: Helicobactor Pylori and Peptic Ulcer Diseasementioning

confidence: 94%

“…Fernandes et al . evaluated the impact of preoperative upper gastrointestinal endoscopy on postoperative complications in Portugal.…”

Section: Bariatric Surgerymentioning

confidence: 99%

“…In a prospective cohort from Italy including 142 candidates for bariatric surgery who were referred for a scheduled upper endoscopy, Carabotti et al reported a 24% prevalence of H. pylori at histology and 43% of all the respondents were symptomatic (the predominant symptoms were GERD in 27.9% and dyspepsia in 24.6% of the cases). 34 Fernandes et al 35 Out of the 342 patients who were enrolled and underwent bariatric surgery, 12.6% developed postsurgical complications. According to these results, the only predictor of postoperative complications was endoscopic ulceration (P=.01), and all the patients with gastroduodenal ulcers were infected with H. pylori.…”

Section: Bariatric Surgerymentioning

confidence: 99%

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Helicobacter pylori infection and nonmalignant diseases

et al. 2017

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A substantial decrease in Helicobacter pylori-associated peptic ulcer disease has been observed during the last decades. Drug-related ulcers as well as idiopathic ulcers are becoming predominant and are more refractory to treatment; however, H. pylori infection still plays an important role in ulcer bleeding and recurrence after therapy. The effect of H. pylori eradication upon functional dyspepsia symptoms has been reviewed in this article and generally confirms the results of previous meta-analyses. Additional evidence suggests a lack of impact upon the quality of life, in spite of improvement in symptoms. The association of H. pylori with gastroesophageal reflux disease and Barrett's esophagus remains controversial with a majority of published studies showing a negative association. Furthermore, a strong inverse relationship between the presence of H. pylori and the esophageal eosinophilia was also reported. Several studies and a review addressed the role of H. pylori in autoimmune gastritis and pernicious anemia. The association of the above still remains controversial. Finally, the necessity of routine endoscopy and H. pylori eradication before bariatric surgery is discussed. Several studies suggest the rationale of preoperative upper endoscopy and H. pylori eradication prior to surgery. However, the prevalence of H. pylori infection prior to surgery in these studies generally reflects the overall prevalence of the infection in the particular geographic area. In addition, results on the role of H. pylori in developing postoperative complications remain controversial.

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Section: Bariatric Surgerymentioning

confidence: 62%

Section: Bariatric Surgerymentioning

confidence: 73%

Section: Helicobactor Pylori and Peptic Ulcer Diseasementioning

confidence: 94%

“…Fernandes et al . evaluated the impact of preoperative upper gastrointestinal endoscopy on postoperative complications in Portugal.…”

Section: Bariatric Surgerymentioning

confidence: 99%

Section: Bariatric Surgerymentioning

confidence: 99%