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Subject Area

Ophthalmology

Article Type

Original Study

Abstract

Objective To study the role of esophagogastroduodenoscopy (EGD) in assessment of patients undergoing bariatric surgery. Background The role of EGD in obese patients before bariatric surgery is controversial. In this study, we aimed to evaluate the extent to which endoscopic findings affect the plan of surgical approach in bariatric patients. Patients and methods A single-center cross-sectional study was done on 70 patients planned for bariatric surgery in the period from January 2019 to January 2020. Patients were classified into four groups according to the endoscopic findings: GI: patients with normal endoscopic findings, GII: patients with abnormal endoscopic findings that did not alter the surgical approach or postpone bariatric surgery, GIIIa: patients with endoscopic findings that changed the surgical approach, GIIIb: patients with endoscopic findings that postponed bariatric surgery for medical treatment, and GIV: patients with endoscopic findings that contraindicated the bariatric surgery. Results There were 56 (80%) females and 14 (20%) males, and the mean ± SD BMI was 52.3 ± 11.89 kg/m2. According to the endoscopic findings, surgical approach has been modified in seven (10%) patients, postponed for medical treatment in 23 (32.9%) patients, and contraindicated in only two (2.9%) patients. However, 13 (18.6%) patients with normal endoscopic findings and 25 (35.7%) patients with abnormal endoscopic findings have not shown a change in their planned surgical approach or postponed bariatric surgery. Conclusion A total of 32 (45.7%) of the examined patients had abnormal endoscopic findings that affected bariatric surgery. So, we suggest routine EGD before bariatric surgery for its high diagnostic value and decrease in postoperative complications.

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