Does digestive symptoms require esophago gastroscopy prior to bariatric procedure? Assessment of 6 years' experience

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dc.contributor.authorYormaz, Serdar
dc.contributor.authorYılmaz, Kafalı
dc.contributor.authorAlptekin, Hüsnü
dc.contributor.authorEce, İlhan
dc.contributor.authorAcar, Fahrettin
dc.contributor.authorÇolak, Bayram
dc.contributor.authorKafalı, Mehmet Ertuğrul
dc.date.accessioned2020-03-26T19:53:26Z
dc.date.available2020-03-26T19:53:26Z
dc.date.issued2018
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractAIM: Performance of routine preoperative esophagogastroduodenal endoscopy (EGE) in patients undergoing bariatric surgery is still a controversial subject. The purpose of our study was to evaluate the benefits of performing preoperative EGE in a cohort of bariatric patients. MATERIAL AND METHODS: The present retrospective study was performed between March 2010 and June 2016 We divided the study participants into two groups: group A comprised subjects without disturbing upper digestive signs, while group B comprised patients with disturbing upper digestive signs. Logistic regression analysis was used to identify the predictors that might be associated with abnormal outcomes. RESULTS: Our study included 232 patients (who had undergone sleeve gastrectomy, gastric bypass, ileal interposition, or transit bipartition). The average age was 41.4 +/- 10.3 years, and the average body mass index (BMI) was 43.6 +/- 5.1 kg/m(2). Of all the observed gastroscopic abnormalities, the prevalence for gastritis (17.3%), followed by esophagitis (10.2%), hiatus hernia (9.4%), and bulbitis (8.7%). In multivariate regression analysis, the Gastrointestinal Symptom Rating Scale (GSRS) score and upper gastric symptoms were found to be the only independent predictive markers (OR = 2.822, 95% CI: 1.674-3.456 and OR =2.735, 95% CL 1.827-3.946, respectively). We identified a positive correlation between abnormal EGE findings and postoperative complications. CONCLUSION: Preoperative EGE had a high rate of detection for the possible abnormalities prior to bariatric surgery. Upper gastric symptoms are significant predictive factors of postoperative complications. Performing preoperative EGE for symptomatic patients could help reduce the morbidity and mortality rates in these patients.en_US
dc.identifier.endpage44en_US
dc.identifier.issn0003-469Xen_US
dc.identifier.issn2239-253Xen_US
dc.identifier.issue1en_US
dc.identifier.pmid29629892en_US
dc.identifier.startpage36en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/36502
dc.identifier.volume89en_US
dc.identifier.wosWOS:000445319200006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherEDIZIONI LUIGI POZZIen_US
dc.relation.ispartofANNALI ITALIANI DI CHIRURGIAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectBariatric surgeryen_US
dc.subjectPreoperative endoscopyen_US
dc.subjectUpper digestive symptomsen_US
dc.titleDoes digestive symptoms require esophago gastroscopy prior to bariatric procedure? Assessment of 6 years' experienceen_US
dc.typeArticleen_US

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