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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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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Sleeve Gastrectomy in Mice using Surgical Clips
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Selective Versus Routine Preoperative Upper Gastrointestinal Endoscopy in Bariatric Surgery: Impact on Surgical

Husnu Cagri Genc1

  • 1Department of General Surgery, Faculty of Medicine, Sivas Cumhuriyet University, Sivas, Turkey.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|July 9, 2026
PubMed
Summary

Routine preoperative upper gastrointestinal endoscopy in bariatric surgery is controversial. While abnormalities are common, they significantly impact surgical plans mainly in symptomatic patients, suggesting a selective approach.

Keywords:
bariatric surgeryobesitypreoperative evaluationsurgical decision-makingupper GI endoscopy

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Area of Science:

  • Gastroenterology
  • Bariatric Surgery
  • Endoscopy

Background:

  • The necessity of routine preoperative upper gastrointestinal (GI) endoscopy before bariatric surgery is debated.
  • Evaluating the frequency of endoscopic abnormalities and their influence on surgical decisions is crucial.

Purpose of the Study:

  • To assess the prevalence of upper GI endoscopic abnormalities in patients undergoing bariatric surgery.
  • To determine the impact of these findings on surgical planning and decision-making.

Main Methods:

  • Retrospective analysis of 360 patients undergoing preoperative upper GI endoscopy.
  • Evaluation of demographics, GI symptoms, endoscopic results, and surgical plan modifications.
  • Statistical analysis using chi-square and independent t-tests.

Main Results:

  • Endoscopic abnormalities were found in 59.7% of patients.
  • Surgical plan modifications occurred in 32.8% of cases.
  • Symptomatic patients showed significantly higher rates of abnormalities (P < .001) and surgical modifications (51.6% vs. 22.9%, P < .001).

Conclusions:

  • Preoperative endoscopy reveals a high rate of abnormalities in bariatric candidates.
  • The clinical impact of these findings is primarily significant in symptomatic individuals.
  • A symptom-based, selective endoscopy approach may be more suitable than routine screening for all bariatric surgery candidates.