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

Yuichi Endo, Masayuki Ohta, Kazuhiro Tada, Kunihiro Saga, Hiroomi Takayama, Teijiro Hirashita, Hiroki Uchida, Yukio Iwashita, Masafumi Inomata

研究成果: ジャーナルへの寄稿記事

抄録

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.

元の言語英語
ページ(範囲)27-31
ページ数5
ジャーナルSurgery today
49
発行部数1
DOI
出版物ステータス出版済み - 1 1 2019
外部発表Yes

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Bariatrics
Gastrointestinal Endoscopy
Duodenitis
Hiatal Hernia
Peptic Esophagitis
Barrett Esophagus
Bariatric Surgery
Gastritis
Polyps
Endoscopy
Proton Pump Inhibitors
Peptic Ulcer
Helicobacter pylori
Stomach Neoplasms
Leg
Stomach

All Science Journal Classification (ASJC) codes

  • Surgery

これを引用

Clinical significance of upper gastrointestinal endoscopy before laparoscopic bariatric procedures in Japanese patients. / Endo, Yuichi; Ohta, Masayuki; Tada, Kazuhiro; Saga, Kunihiro; Takayama, Hiroomi; Hirashita, Teijiro; Uchida, Hiroki; Iwashita, Yukio; Inomata, Masafumi.

:: Surgery today, 巻 49, 番号 1, 01.01.2019, p. 27-31.

研究成果: ジャーナルへの寄稿記事

Endo, Y, Ohta, M, Tada, K, Saga, K, Takayama, H, Hirashita, T, Uchida, H, Iwashita, Y & Inomata, M 2019, 'Clinical significance of upper gastrointestinal endoscopy before laparoscopic bariatric procedures in Japanese patients', Surgery today, 巻. 49, 番号 1, pp. 27-31. https://doi.org/10.1007/s00595-018-1705-0
Endo, Yuichi ; Ohta, Masayuki ; Tada, Kazuhiro ; Saga, Kunihiro ; Takayama, Hiroomi ; Hirashita, Teijiro ; Uchida, Hiroki ; Iwashita, Yukio ; Inomata, Masafumi. / Clinical significance of upper gastrointestinal endoscopy before laparoscopic bariatric procedures in Japanese patients. :: Surgery today. 2019 ; 巻 49, 番号 1. pp. 27-31.
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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.",
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AU - Endo, Yuichi

AU - Ohta, Masayuki

AU - Tada, Kazuhiro

AU - Saga, Kunihiro

AU - Takayama, Hiroomi

AU - Hirashita, Teijiro

AU - Uchida, Hiroki

AU - Iwashita, Yukio

AU - Inomata, Masafumi

PY - 2019/1/1

Y1 - 2019/1/1

N2 - 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.

AB - 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.

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