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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

335
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.
During an EGD, the endoscope can be used to:
335
Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

762
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
762
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

151
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.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
151
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
772
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

409
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
409
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

272
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
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Indications for upper gastrointestinal endoscopy before bariatric surgery: a multicenter study.

Hussein Abdallah1, Mehdi El Skalli2, Hussein Mcheimeche3

  • 1Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume, 447, 34149, Trieste, Italy. hsseinabdallah@gmail.com.

Surgical Endoscopy
|October 6, 2022
PubMed
Summary

Preoperative upper gastrointestinal endoscopy before bariatric surgery is crucial. It identifies significant findings in 23.8% of patients, influencing surgical plans and patient management.

Keywords:
Bariatric surgeryHelicobacter pylori infectionPreoperative endoscopyUpper gastrointestinal diseases

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Area of Science:

  • Gastroenterology
  • Bariatric Surgery
  • Endoscopy

Background:

  • The necessity of preoperative upper gastrointestinal endoscopy (UGE) before bariatric surgery remains a topic of debate within the international medical community.
  • This study aimed to analyze pathological endoscopic findings and their impact on surgical decision-making across three distinct geographic regions.

Purpose of the Study:

  • To evaluate the influence of preoperative endoscopic findings on bariatric surgery planning.
  • To determine the rate of surgical delays, modifications, or contraindications due to endoscopic results.
  • To assess the prevalence of Helicobacter pylori infection in patients undergoing bariatric surgery.

Main Methods:

  • A multicenter, cross-sectional study utilizing data from three prospective databases.
  • Collected data included preoperative endoscopic reports, patient demographics, BMI, surgical type, and H. pylori status.
  • Endoscopic findings were classified into four categories: normal, abnormal without impact, clinically important requiring intervention, or contraindicating surgery.

Main Results:

  • Data from 643 patients (2006-2020) revealed that 76.2% had normal or non-impactful findings.
  • A significant 23.8% of patients experienced surgical approach changes or delays.
  • Helicobacter pylori infection was present in 15.2% of patients; no findings contraindicating surgery were observed.

Conclusions:

  • Preoperative UGE is valuable for detecting diverse pathological findings in obese patients, potentially altering the bariatric procedure choice.
  • Given the prevalence of asymptomatic pathologies and malignancy risk, routine preoperative endoscopy is recommended for all bariatric surgery candidates.
  • Endoscopy aids in optimizing therapeutic strategies and ensuring patient safety in bariatric surgery.