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Clinical significance of endoscopy before bariatric surgery: An experience of a tertiary hospital

2020; Elsevier BV; Volume: 20; Linguagem: Inglês

10.1016/j.obmed.2020.100289

2451-8476

Mohammed Attieh Alzahrani, Essa Ali Hammadi, Meshref Abdullah Alshehri, Ruqayyah Mohammed Belali, Esmahan Ibrahim Tahtouh, Ibrahim Mohammed Almanjahi, Mushabab Saeed Hammad, Khalid Yousef Nebrawi, Abdullah Alshehri, Tamer Mamdouh Elmalahy, Shahata F. Shehata,

Esophageal Cancer Research and Treatment

The obesity has been found to be associated with many gastrointestinal disease conditions like GERD, Hiatus hernia and Helicobacter pylori. The choice between performing routine and selective upper endoscopy in the preoperative preparation of all obese patients presenting for bariatric surgery remains controversial. We conducted a retrospective record based study on 184 patients with obesity, who were undergone endoscopy before bariatric surgery over a period of 2015–2020 at Gastroenterology clinic, Aseer Central Hospital, Abha, Saudi Arabia. The highest proportion was aged between 35 and 44 years (36.4%) where most of them had morbid obesity (84.8%). The most common abnormal endoscopic findings were Hiatus hernia (23.4%), Gastritis (59.2%); 14.1% had duodenitis and 4.3% had ulcers. In conclusion, according to the higher percentage of a large range of disorders in upper-GI tract in obese patients, we suggest that routine preoperative endoscopy prior in bariatric surgery patients may help in the discovery of GI pathologies that may affect not only the surgery procedure but also the bariatric follow-up.