Related Experiment Video
Updated: Jan 30, 2026
05:16
Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
7.4K
Routine surveillance endoscopy before and after sleeve gastrectomy?
Radwan Kassir1, Rani Kassir2, Bénédicte Deparseval2
1Department of Bariatric Surgery, CHU Félix Guyon, La Réunion, Saint Denis 97400, France. radwankassir42@hotmail.fr.
World Journal of Gastrointestinal Endoscopy
|February 2, 2019
Summary
Routine upper endoscopy (esophagogastroduodenoscopy) before and after bariatric surgery is debated. This review supports systematic pre- and post-operative screening for bariatric patients to detect reflux and premalignant conditions.
Area of Science:
- Gastroenterology
- Bariatric Surgery
- Endoscopy
Background:
- The necessity of pre- and post-operative upper endoscopy (esophagogastroduodenoscopy, OGDF) in bariatric surgery patients lacks consensus.
- Concerns exist regarding gastroesophageal reflux disease and Barrett's esophagus after sleeve gastrectomy (SG), and premalignant lesions in excluded stomachs after Roux-en-Y gastric bypass (RYGB).
Discussion:
- The International Federation for the Surgery of Obesity and Metabolic Disorders recommends routine surveillance endoscopy after SG.
- This review synthesizes arguments favoring a systematic approach to preoperative and postoperative OGDF.
Key Insights:
- Systematic OGDF can identify risks like gastroesophageal reflux disease and Barrett's esophagus post-SG.
- Preoperative and postoperative OGDF can detect premalignant lesions in the excluded stomach after RYGB.
- Standardizing OGDF protocols may improve patient outcomes and safety in bariatric surgery.
Outlook:
- Further research is needed to establish definitive guidelines for OGDF in bariatric surgery.
- Implementing systematic OGDF could enhance the long-term management of bariatric patients.
- This approach may help in the early detection and management of potential complications.
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