Preoperative upper endoscopy and bariatric surgeries
Keywords:
incidental findings, esophagogastroduodenoscopy, bariatric surgeriesAbstract
Objectives In this study the frequency rate of incidental findings in esophageal and gastric endoscopy of morbid obese subjects’ candidate
for bariatric surgery was determined.
Methods and Materials In this observational study, 1663 consecutive patients candidate for bariatric obesity in Rasool-Akram Hospital were
enrolled and the upper endoscopy was done and the frequency rate of incidental findings was determined.
Results In this study, 41%, 31%, 27.3%, 6%, 0.8%, 0.8%, respectively, had Helicobacter pylori infection, hiatal hernia, esophagitis, esophageal
ulcer, gastric ulcer and polyp. Esophagitis and esophageal ulcer were significantly more common among male subjects (9% males, 5%
females and 33% males, 25% females) and the mean age was higher among those with esophageal ulcer and H. pylori infection (P = 0.01
and P = 0.007 respectively).
In general, it can be concluded that about one-third of patients (35%) with morbid obesity have incidental findings on endoscopy.
Conclusion Totally, according to the obtained results, it may be concluded that nearly one-third of morbid obese subjects candidate for
bariatric surgery have incidental findings in preoperative upper endoscopy.
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