ArticleObesity surgery2018
High-Percentage Pathological Findings in Obese Patients Suggest that Esophago-gastro-duodenoscopy Should Be Made Mandatory Prior to Bariatric Surgery.
Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Incidental GIST in Patients Undergoing Bariatric Surgery: A Systematic Review of Incidence and Management.Obesity surgery · 2025Pooled it
- Can Incidental Gastric GISTs During Bariatric Surgeries Change the Primary Plan of Surgery? A Single Team Experience and a Systematic Review of Literature.Obesity surgery · 2024Pooled it
- Preoperative Oesophagogastroduodenoscopy and the Effect on Bariatric Surgery: a Systematic Review and Meta-Analysis.Obesity surgery · 2023Pooled it
- GERD after Bariatric Surgery. Can We Expect Endoscopic Findings?Medicina (Kaunas, Lithuania) · 2021Pooled it
- Incidental Gastrointestinal Stromal Tumors (GISTs) and Bariatric Surgery: A Review.Obesity surgery · 2020Pooled it
- Endoscopic Screening of Barrett's Esophagus.Gastrointestinal endoscopy clinics of North America · 2026Review
- International Federation for Surgery for Obesity and Metabolic Disorders Position Statement on the role of Upper Gastrointestinal Endoscopy Before and After Metabolic Bariatric Surgery.Obesity surgery · 2025Article
- Preoperative Upper Endoscopy and Surgical Specimen Findings in Bariatric Surgery Patients.Obesity surgery · 2025Article
- How preoperative upper gastrointestinal investigations affect the management of bariatric patients: results of a cohort study of 897 patients.Surgical endoscopy · 2025Article
- Preoperative esophagogastroduodenoscopy in pediatric bariatric surgery: A summary of the literature.JPGN reports · 2024Review
- Unveiling the hidden pathologies: preoperative endoscopic findings in patients with obesity undergoing bariatric surgery.BMC surgery · 2024Article
- Gastrointestinal Symptomatology as a Predictor of Esophagogastroduodenoscopy Findings in the Bariatric Population: a Retrospective Cohort Study with Review of the Literature.Obesity surgery · 2022Review
- Preoperative Assessment of Patients Undergoing Bariatric Sleeve Gastrectomy: A Cross-Sectional Study.Gastroenterology research and practice · 2022Article
- A Case of Accidentally Found Gastrointestinal Stromal Tumor in a 57-Year-Old Candidate of Gastric Bypass Surgery.Obesity surgery · 2021Article
- Pre-screening for bariatric surgery patients: comparative effectiveness of transnasal endoscopy versus esophagogastroduodenoscopy.Surgical endoscopy · 2021Article
- 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
- Hiatal Hernia Evaluation Before Bariatric Surgery: Should It Be Routinely Done?Obesity surgery · 2021Article
- Endoscopic Screening for Barrett's Esophagus and Esophageal Adenocarcinoma: Rationale, Candidates, and Challenges.Gastrointestinal endoscopy clinics of North America · 2021Review
- IFSO Position Statement on the Role of Esophago-Gastro-Duodenal Endoscopy Prior to and after Bariatric and Metabolic Surgery Procedures.Obesity surgery · 2020Review
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
ᅟ: Obesity is a global epidemic and will soon become the number one priority in healthcare management. Bariatric surgery causes a significant improvement in obesity and its related complications. Pre-operative esophago-gastro-duodenoscopy (EGD) is done by several bariatric surgical teams across the world but is still not mandatory.
aimTo study the percentage of symptomatic and asymptomatic pathological EGD findings in obese patients undergoing bariatric surgery and to analyze whether these findings influence the eventual choice of bariatric surgery. MATERIALS AND
methodsAll patients posted for bariatric surgery at our institute from January 2015 to March 2017 had a pre-operative EGD done by the same team of endoscopists.
resultsIn this study, totally, 675 patients were assessed prior to routine bariatric surgery. 78.52% of all pre-operative patients had an abnormal EGD. The most common endoscopic abnormalities found were hiatus hernia (52.44%), gastritis (46.22%), presence of Helicobacter (H.) pylori (46.67%), reflux esophagitis (16.89%), Barrett's esophagus (1.78%), gastric erosions (13.19%), and polyps (7.41%). Fifty patients had upper gastrointestinal polyps: 41 in the stomach, 3 in the esophagus, and 6 in the duodenum, mostly benign hyperplastic or inflammatory polyps. Two patients had gastrointestinal stromal tumor (GIST), 6 leiomyoma, and 6 neuroendocrine tumors (NET). Of those with endoscopic evidence of gastroesophageal reflux disease (GERD), 70 (60.03%) of patients were asymptomatic. The pre-operative EGD findings resulted in a change of the planned surgical procedure in 67 (9.93%) patients.
conclusionOur study suggests that a large percentage of patients undergoing bariatric surgery have pathologically significant endoscopic findings of which a significant number are asymptomatic; this can lead to a change in the planned bariatric procedure in a section of patients; hence, we believe that EGD should be made mandatory as a pre-operative investigation in all bariatric surgery patients.
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