ArticleObesity surgery2017
Upper Gastrointestinal Endoscopy prior to Bariatric Surgery-Mandatory or Expendable? An Analysis of 801 Cases.
Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Effect of Helicobacter pylori infection on metabolic and bariatric surgical complications: a systematic review and meta-analysis.Updates in surgery · 2025Pooled it
- Preoperative Oesophagogastroduodenoscopy and the Effect on Bariatric Surgery: a Systematic Review and Meta-Analysis.Obesity surgery · 2023Pooled it
- Incidental Gastrointestinal Stromal Tumors (GISTs) and Bariatric Surgery: A Review.Obesity surgery · 2020Pooled it
- Preoperative Upper Endoscopy and Surgical Specimen Findings in Bariatric Surgery Patients.Obesity surgery · 2025Article
- Common Peroneal Nerve Paralysis Following Rapid Weight Loss-A Case Report and Literature Review.Nutrients · 2025Review
- Histopathological Analysis Post Sleeve Gastrectomy: Value and Correlation With Preoperative Endoscopic Findings.Cureus · 2025Article
- Preoperative esophagogastroduodenoscopy in pediatric bariatric surgery: A summary of the literature.JPGN reports · 2024Review
- [Indications and preoperative planning for bariatric surgery].Wiener klinische Wochenschrift · 2023Article
- Do all roads lead to Rome?: A retrospective analysis on surgical technique in Roux-en-Y gastric bypass.Surgical endoscopy · 2023Article
- Impact of preoperative esophagogastroduodenoscopy in patients undergoing bariatric surgery and development of a model to predict clinically significant abnormal endoscopic findings.Surgical endoscopy · 2023Article
- Indications for upper gastrointestinal endoscopy before bariatric surgery: a multicenter study.Surgical endoscopy · 2023Article
- Gastrointestinal Symptomatology as a Predictor of Esophagogastroduodenoscopy Findings in the Bariatric Population: a Retrospective Cohort Study with Review of the Literature.Obesity surgery · 2022Review
- Predictive Factors for Developing GERD After Sleeve Gastrectomy: Is Preoperative Endoscopy Necessary?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- Is gastroscopy necessary before bariatric surgery?World journal of gastrointestinal endoscopy · 2022Review
- Preoperative esophagogastroduodenoscopy findings and effects on laparoscopic Roux-en-Y gastric bypass in area with high prevalence ofGastroenterology and hepatology from bed to bench · 2022Article
- Role of Preoperative Esophagogastroduodenoscopy (EGD) in Bariatric Treatment.Journal of clinical medicine · 2021Article
- Barrett's Oesophagus and Bariatric/Metabolic Surgery-IFSO 2020 Position Statement.Obesity surgery · 2021Article
- Prevalence of Endoscopic Findings Before Bariatric Surgery and Their Influence on the Selection of the Surgical Technique.Obesity surgery · 2020Article
- Gastroesophageal Reflux and Laparoscopic Sleeve Gastrectomy: Results of the First International Consensus Conference.Obesity surgery · 2020Article
- IFSO Position Statement on the Role of Esophago-Gastro-Duodenal Endoscopy Prior to and after Bariatric and Metabolic Surgery Procedures.Obesity surgery · 2020Review
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUpper gastrointestinal pathologies are common in bariatric patients. Preoperative esophagogastroduodenal endoscopy (EGD) should detect and treat pathologies that might alter the type of bariatric surgery. However, clinical consequences of these findings are often insignificant. The aim of this study was to assess the influence of preoperative endoscopy in our cohort and its clinical consequences.
methodsWe conducted a retrospective analysis of endoscopic findings in patients under evaluation for bariatric surgery. Endoscopic findings were compared to preoperative risk factors as well as postoperative complications, and its clinical consequences were analyzed.
resultsData was available for 801 patients. Abnormal endoscopic findings were found in 65.7% of all patients. The most common conditions were gastritis (32.1%) and gastroesophageal reflux (24.8%). Malignancies were observed in 0.5% of all patients. We observed early-stage adenocarcinoma of the esophagus in two patients through our routine preoperative evaluation. Helicobacter pylori infections were detected in preoperative biopsies in only 3.7% of all patients. Patients who reported reflux symptoms had a higher rate of pathological EGDs (74.2 vs. 64.9%, p .019). We did not find any other risk factors for a pathological endoscopy. The postoperative complication rate was 11.2%. Leakage rate was 1.1%. Mortality rate was 0.4%. We did not find any correlation between the incidence of postoperative complications and preoperative endoscopic findings.
conclusionsRelevant findings in routine preoperative endoscopy are rare but have significant influence on decision-making in bariatric patients and should be assessed as a necessary diagnostic tool.
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