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Obesity Surgery

, Volume 28, Issue 9, pp 2696–2699 | Cite as

Role of Routine Abdominal Ultrasound Before Bariatric Surgery: Review of 937 Patients

  • Bassem M. Abou Hussein
  • Ali Khammas
  • Maryam Makki
  • Marwah Makki
  • Usama Al Bastaki
  • Alya Al Mazrouei
  • Faisal S. Badri
Original Contributions
  • 104 Downloads

Abstract

Introduction

Routine use of preoperative abdominal ultrasound for patients undergoing bariatric surgery is controversial. Despite that some physicians routinely implement it, others consider it unnecessary and not cost effective because it does not have a clear clinical significance in the preparation of bariatric patients.

Aim of the Study

To investigate whether routine abdominal ultrasound prior to bariatric surgery affects the surgical plan or not.

Patients and Methods

We reviewed medical records of patients with abdominal ultrasound before bariatric surgery in Rashid Hospital between June 2014 and December 2016. Patients were divided into four groups: group 0 included patients with normal abdominal ultrasound, group 1 included abnormalities that did not affect timing or type of procedure, group 2 included findings that did not affect surgical plan but needed postoperative follow-up, and group 3 included abnormalities that had a direct impact on the procedure.

Results

One thousand one hundred twenty files were reviewed. Results were missing in 183 files, thus excluded; remaining 937 files were included. Mean age of patients was 37 ± 12 years, 589 (63%) were females and 348 (37%) were males. Mean BMI was 45.1 ± 9.8 kg/m2. Ultrasound was normal in 354 (37.7%) of patients and abnormal in 583 (62.3%).

Conclusion

Routine abdominal ultrasound does not seem to have an important part in preoperative preparation of patients before bariatric surgery. Further studies could be helpful in discussing this role and building up clear solid evidence and guidelines that could be approved by international bariatric associations regarding the indication of preoperative abdominal ultrasound before bariatric surgery.

Keywords

Abdomina Ultrasound Routine Bariatric Obesity 

Notes

Funding

The Corresponding Author has the right to grant on behalf of all authors and does grant on behalf of all authors, an exclusive license (or non-exclusive for government employees) on a worldwide basis to permit this article (if accepted) to be published in the Journal of Obesity Surgery.

Compliance with Ethical Standards

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Does not apply.

Conflict of Interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.General Surgery DepartmentRashid Hospital, Dubai Health AuthorityDubaiUnited Arab Emirates
  2. 2.Radiology DepartmentRashid Hospital, Dubai Health AuthorityDubaiUnited Arab Emirates

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