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Surgery Today

, Volume 49, Issue 1, pp 27–31 | Cite as

Clinical significance of upper gastrointestinal endoscopy before laparoscopic bariatric procedures in Japanese patients

  • Yuichi EndoEmail author
  • Masayuki Ohta
  • Kazuhiro Tada
  • Kunihiro Saga
  • Hiroomi Takayama
  • Teijiro Hirashita
  • Hiroki Uchida
  • Yukio Iwashita
  • Masafumi Inomata
Original Article
  • 97 Downloads

Abstract

Purposes

The choice between performing routine and selective upper gastrointestinal endoscopy (UGE) before bariatric surgery remains controversial. This study aimed to evaluate the clinical significance of UGE before laparoscopic bariatric procedures.

Methods

We enrolled 155 obese Japanese patients who underwent laparoscopic bariatric procedures at our institute and evaluated their endoscopic findings, such as reflux esophagitis (RE), hiatal hernia (HH), Barrett’s esophagus, gastritis, duodenitis, gastroduodenal ulcer, gastric cancer, and polyps.

Results

Preoperative endoscopy revealed abnormal findings in 102 patients (66%), including gastritis in 57 (37%), HH in 51 (32%), RE in 27 (17%), benign gastric polyps in 16 (10%), duodenitis in 6 (4%), and Barrett’s esophagus in 1 (0.6%). Two patients with definite HH were treated with simultaneous crural repair at the time of bariatric surgery. Duodenitis was graded as severe in three of these six patients and treated with a proton pump inhibitor before surgery. Eleven patients received therapy to eradicate Helicobacter pylori (H. pylori), either before or after the surgery. In summary, preoperative endoscopy changed the perioperative management for 16 of the 155 patients (10%).

Conclusions

Routine UGE may be necessary before bariatric procedures in obese Japanese patients.

Keywords

Upper gastrointestinal endoscopy Laparoscopic bariatric surgery Hiatal hernia Perioperative management 

Notes

Compliance with ethical standards

Conflict of interest

Yuichi Endo and his co-authors have no conflicts of interest to declare.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Yuichi Endo
    • 1
    Email author
  • Masayuki Ohta
    • 1
  • Kazuhiro Tada
    • 1
  • Kunihiro Saga
    • 1
  • Hiroomi Takayama
    • 1
  • Teijiro Hirashita
    • 1
  • Hiroki Uchida
    • 1
  • Yukio Iwashita
    • 1
  • Masafumi Inomata
    • 1
  1. 1.Department of Gastroenterological and Pediatric SurgeryOita University Faculty of MedicineYufuJapan

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