Value of Preoperative Esophagogastroduodenoscopy in Morbidly Obese Patients Undergoing Laparoscopic Roux-en-Y Gastric Bypass

D’Hondt, Mathieu; Steverlynck, Matthias; Pottel, Hans; Elewaut, A; George, Christophe; Vansteenkiste, Franky; F, Van Rooy; Devriendt, Dirk

doi:10.1080/00015458.2013.11680922

Cited by 26 publications

(16 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Numerous studies have looked into the outcomes of such preoperative assessments and evaluated their worth. They all suggest that even when abnormalities are found on OGD, very few will result in a change in the surgical outcome or approach taken [ 8 – 10 ]. It has consistently been found that the most common finding on OGD prior to bariatric surgery is the presence of a hiatus hernia [ 8 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…They all suggest that even when abnormalities are found on OGD, very few will result in a change in the surgical outcome or approach taken [ 8 – 10 ]. It has consistently been found that the most common finding on OGD prior to bariatric surgery is the presence of a hiatus hernia [ 8 , 10 ]. This is also a common incidental finding in our centre with an estimated 15% of bariatric patients being diagnosed with hiatus hernias at the time of the operation.…”

Section: Discussionmentioning

confidence: 99%

“…The presence of a hiatus hernia in our experience does not compromise our management or approach used. Other common findings include oesophagitis, peptic ulcers and gastritis, but less likely in asymptomatic patients [ 8 – 10 ]. In our institution, we have adopted a selective use of gastroscopy in the work-up of patients undergoing bariatric surgery, performing gastroscopy only in patients with a clinical history positive for upper gastrointestinal symptoms.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Incidental oesophageal leiomyoma during laparoscopic Roux-en-Y gastric bypass: finding the unexpected does not affect outcomes

Jain

Atherton

Acharya

et al. 2015

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Most bariatric procedures are now performed laparoscopically. Here, we describe a case of incidental oesophageal leiomyoma found during laparoscopic Roux-en-Y gastric bypass (LRYGB). To our knowledge, this is the first such case reported. Our patient was admitted for an elective LRYGB. She had no upper gastrointestinal symptoms, and therefore did not undergo preoperative oesophagogastroduodenoscopy (OGD). During surgery, a hiatus hernia and an incidental oesophageal leiomyoma were found and treated with hernia repair and enucleation. The end outcome was unaffected. We were able to concomitantly treat the unexpected finding of an oesophageal leiomyoma and a hiatus hernia during the LRYGB. The routine use of OGD prior to bariatric surgery is still controversial. While surgeons should be prepared for unexpected pathologies, when performing laparoscopic bariatric surgery, a routine OGD prior to LRYGB is probably not necessary in asymptomatic patients. Laparoscopic enucleation of oesophageal leiomyoma during LRYGB is feasible and safe.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Incidental oesophageal leiomyoma during laparoscopic Roux-en-Y gastric bypass: finding the unexpected does not affect outcomes

Jain

Atherton

Acharya

et al. 2015

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…It may also suggest modification of surgical technique to be employed and to contraindicate the operation 4 - 8 . Studies have shown endoscopic findings in 80% of asymptomatic patients 7 , 8 .…”

Section: Introductionmentioning

confidence: 99%

“…The most frequent endoscopic findings are hiatal hernia, gastritis, esophagitis, gastroduodenal ulcers and Barrett's esophagus 4 , 7 , 8 . The stomach is the most affected segment up about 80% of the cases 5 .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Upper Gastrointestinal Endoscopy in Patients Undergoing Bariatric Surgery

Assef¹,

Melo²,

Araki³

et al. 2015

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

Background: Obesity has become epidemic, and is associated with greater morbidity and mortality. Treatment is multidisciplinary. Surgical treatment is a consistent resource in severe obesity. The indication of preoperative upper gastrointestinal endoscopy in asymptomatic patients is controversial; however, most studies recommend its implementation in all patients. Aim: To analyze endoscopic performance in patients who were in preoperative for bariatric surgery and compare them with control group. Method: A series of 35 obese patients in preoperative period for bariatric surgery compared with a control group of 30 patients submitted to upper endoscopy. There were analyzed clinical and endoscopic data. Results: The mean age of the group of patients was 43.54 years. Most individuals in the group of patients were female with median BMI of 47.26kg/m2and in control group 24.21 kg/m2. The majority of patients were asymptomatic. Upper endoscopy was altered in 81.25% of asymptomatic patients. Endoscopic findings in the patient group were 57.1% resulting from peptic ulcer disease and 34.3% associated with GERD. The analysis of endoscopic findings in patients showed no significant difference in relation of the control group. The prevalence of H. pylori infection was 60% in patients. Conclusion: It is recommended that the upper endoscopy should be made in all patients in the preoperative bariatric surgery period, although the degree of obesity is not related to a greater number of endoscopic findings. Obese patients do not have more endoscopic findings that non-obese individuals.

show abstract

Hiatal Hernia and Reflux Following Bariatric Surgery

McLaren¹,

Mattar²

2018

Complications in Bariatric Surgery

View full text Add to dashboard Cite

Value of Preoperative Esophagogastroduodenoscopy in Morbidly Obese Patients Undergoing Laparoscopic Roux-en-Y Gastric Bypass

Cited by 26 publications

References 31 publications

Incidental oesophageal leiomyoma during laparoscopic Roux-en-Y gastric bypass: finding the unexpected does not affect outcomes

Incidental oesophageal leiomyoma during laparoscopic Roux-en-Y gastric bypass: finding the unexpected does not affect outcomes

Evaluation of Upper Gastrointestinal Endoscopy in Patients Undergoing Bariatric Surgery

Hiatal Hernia and Reflux Following Bariatric Surgery

Contact Info

Product

Resources

About