Some centers perform EGD routinely in all patients; others perform EGD selectively. METHODS: Endoscopy reports of all patients having undergone an EGD at our endosurgical unit were reviewed. Preoperative Endoscopy Prior to Bariatric Surgery: a Systematic Review and Meta-Analysis of the Literature. In Finland, upper GI endoscopy (UGI) prior to bariatric surgery is routine in all but one hospital performing bariatric surgery. Bariatric surgery is an effective treatment for obesity and its metabolic related disorders. Effort, safety, and findings of routine preoperative endoscopic evaluation of morbidly obese patients undergoing bariatric surgery. Currently, the recommendation of a customized preoperative endoscopy prior to bariatric surgery is mainly due to the rise of gastrointestinal disorders in obese subjects which may impact the perioperative therapy or even the surgery itself (Lundell et al., 1999). Background: The aim of the present study was to investigate and discuss the incidence of gastric anomalies and pathologies among bariatric surgery patients who underwent preoperative endoscopic evaluation. Getting an upper endoscopy before bariatric surgery may be necessary to check for issues and pre-operative planning. The role of upper endoscopy in the preoperative evaluation of patients who are being considered for bariatric surgery is to detect upper GI abnormalities, even in asymptomatic patients. Loewen M, Giovanni J, Barba C. Screening endoscopy before bariatric surgery: a series of 448 patients. Surg Obes Relat Dis. Methods: Between March 2013 and March 2015, a series of obese patients, who underwent esophagogastroduodenoscopy (EGD) before bariatric surgery (sleeve gastrectomy or Roux-en-Y … Preoperative Upper-GI Endoscopy Prior to Bariatric Surgery: Essential or Optional? Sjöström L, Peltonen M, Jacobson P, Sjöström CD, Karason K, Wedel H, et al. 2012 Jan 4. Flexible endoscopy is an important investigative tool for upper gastrointestinal disorders (GIT)., It has been shown to be essential in preoperative workup for patients planned for bariatric surgery., Our study sample is small due to the lack of popularity of such surgeries in weight reduction; in addition to that, all the patients did not undergo EGD preoperatively. However, UGI is an unpleasant investigation for the patient and requires resources. Endoscopy will likely remain the preferred preoperative screening test for patients before bariatric surgery in many international centers. BACKGROUND: There is debate regarding preoperative endoscopy (EGD) in patients undergoing bariatric surgery. The role of routine preoperative oesopha gogastroduodenoscopy (OGD) for all bariatric surgery candidates is controversial. The European and Italian national recommendations advocate the use of presur-gery upper gastrointestinal endoscopy … The MeSH terms “bariatric surgery,” “endoscopy,” and “preoperative” were combined, and additional text words also searched on November 18, 2014. Abstract. 37. Helicobacter pylori (HP) can be tested from blood and cannot be considered as an indication for UGI. Introduction The routine use of preoperative endoscopy for patients undergoing bariatric surgery is controversial. CONCLUSION: Routinely performed preoperative endoscopy before bariatric surgery revealed a high prevalence of gastrointestinal diseases with a significant impact on perioperative management in two thirds of the cases. Some centers routinely perform EGD in all patients prior to bariatric surgery, while other centers utilize EGD selectively. whether a preoperative esophago-gastro-duodenoscopy (EGDS) should be done routinely prior to bariatric surgery and how frequently significant findings are detected. JAMA. Kuper MA, Kratt T, Kramer KM, et al. Therefore, we recommend routine gastroscopy about 2-4 weeks prior to surgery. In conclusion, endoscopy can have high diagnostic accuracy for preoperative HH in obese Asian patients, using intraoperative diagnosis as the reference standard. We aim to investigate the prevalence of clinically significant OGD findings in a primarily Chinese obese population and identify factors that predict a normal screening OGD. The 2008 guidelines … In 2011, we introduced preoperative endoscopy to assess for hiatus hernia or evidence of oesophagitis in conjunction with an assessment of gastro‐oesophageal reflux symptoms for all patients undergoing bariatric surgery with a view to avoid sleeve gastrectomy for these patients. New York, New York) to identify all studies reporting the outcomes of preoperative EGD before any type of bariatric surgery. ConclusionPreoperative upper-GI endoscopy identifies a wide range of abnormal endoscopic findings in obese patients, which may have a significant impact on decision-making, particularly regarding the most suitable bariatric procedure and the appropriate follow-up. Methods: A retrospective analysis was carried out of our electronic prospective bariatric surgery patient database, including all patients who underwent SG between January 2007 and January 2017. who underwent bariatric procedures showed a high prevalence of gastrointestinal diseases with a significant impact on perioperative management in two thirds of the cases of bariatric patients who underwent preoperative upper GI endoscopy and therefore they recommend routine gastroscopy about 2-4 weeks prior to surgery [3]. Although many surgeons find it unnecessary, others still consider it a mandatory tool in preoperative assessment. You don’t want to go through the hard work of completing the bariatric process only to find an issue on the day of your surgery and have it be canceled. Upper GI endoscopy is a procedure in which a doctor uses an endoscope—a long, flexible tube with a camera—to see the lining of your upper GI tract.A gastroenterologist, surgeon, or other trained health care provider performs the procedure, most often while you receive light sedation.Your doctor may also call the procedure an EGD or esophagogastroduodenoscopy. 2008; 4(6):709–712. Aims. BACKGROUND: This study evaluates the diagnostic yield of esophago-gastroduodenoscopy (EGD) before bariatric surgery and its influence on the planned surgery. Preoperative Endoscopy in the Evaluation of Patients Before Bariatric Surgery. The role of endoscopy in bariatric surgery begins well before a … 36. Routine preoperative endoscopy in patients undergoing bariatric surgery - Surgery … Bariatric surgery and long-term cardiovascular events. Parikh M, Liu J, Vieira D, Tzimas D, Horwitz D, Antony A, Saunders JK, Ude-Welcome A, Goodman A. Obes Surg, 26(12):2961-2966, 01 Dec 2016 Cited by: 9 articles | PMID: 27198238. Review The role of preoperative upper-gastrointestinal endoscopy for bariatric surgery is still understood only with controversy. With the numbers of bariatric procedures being performed rising annually endoscopists are now more likely than ever to encounter this patient cohort on routine diagnostic lists. The European Association for Endoscopic Surgery recommends routine EGD or radiologic evaluation with a barium meal before bariatric surgery, whereas the Society of American Gastrointestinal and Endoscopic Surgeons recommends EGD only when clinical suspicion of a gastric pathology exists. There is frequent debate regarding the role of preoperative endoscopy (EGD) prior to bariatric surgery. The aim of this study was to evaluate the prevalence of endoscopic findings and its impact on perioperative management. 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