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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Related Experiment Video

Updated: Nov 28, 2025

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
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Long-term endoscopic follow-up after sleeve gastrectomy.

R Benvenga1, J Roussel1, R Cohen1

  • 1Department of digestive surgery, centre hospitalier de Saint-Denis, 2, rue du Docteur Delafontaine, 93200 Saint-Denis, France.

Journal of Visceral Surgery
|December 1, 2020
PubMed
Summary

Endoscopic follow-up after sleeve gastrectomy (SG) is crucial, as many patients develop esophagitis and gastritis. Systematic long-term upper endoscopy after SG is recommended to monitor for these digestive lesions.

Keywords:
Bariatric surgeryBarrett's esophagusEsophageal cancerEsophagitisLong-term follow-upSleeve gastrectomyUpper GI endoscopy

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Area of Science:

  • Bariatric surgery outcomes
  • Gastroenterology
  • Digestive health

Background:

  • Sleeve gastrectomy (SG) can lead to significant upper gastrointestinal issues.
  • Esophagitis, Barrett's esophagus, and esophageal cancer are potential complications.
  • Regular endoscopic surveillance is often necessary post-SG.

Purpose of the Study:

  • To determine the incidence and severity of esophageal and gastric abnormalities following SG.
  • To assess the long-term endoscopic findings in patients who have undergone SG.

Main Methods:

  • Retrospective analysis of esogastric endoscopies in SG patients.
  • Data collected from April 2010 to August 2014, with follow-up from January 2018 to June 2019.
  • Inclusion of patients who underwent SG up to five years prior.

Main Results:

  • Only 10.2% of SG patients participated in the follow-up endoscopy.
  • Common findings included gastritis (35.9%), esophagitis (19.2%), and hiatal hernia (23.1%).
  • De novo esophagitis developed in 93.3% of esophagitis cases; one case of Barrett's esophagus was identified.

Conclusions:

  • A low patient participation rate (10.2%) was observed for long-term endoscopic follow-up.
  • The high frequency of endoscopic anomalies suggests a need for systematic surveillance.
  • Routine upper endoscopy is recommended for long-term monitoring after sleeve gastrectomy.