Preoperative Upper Endoscopy and Surgical Specimen Findings in Bariatric Surgery Patients

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Metabolic-bariatric surgery is effective for obesity, with sleeve gastrectomy and Roux-en-Y gastric bypass being the most common procedures.
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Preoperative esophagogastroduodenoscopy can reveal significant findings in asymptomatic patients, impacting surgical planning in about 16% of cases.
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EGD findings such as large hiatal hernias and pre-malignant lesions may lead to preference for sleeve gastrectomy over other surgical options.
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Only 36.9% of patients undergoing metabolic-bariatric surgery had preoperative EGD, with indications primarily being preoperative assessment or GERD.
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Among patients who underwent preoperative EGD, 8.16% tested positive for H. pylori, highlighting the importance of EGD in identifying gastric pathologies.

Obesity Surgery

by Baila Elkin, Joseph El-Dahdah, Qijun Yang, Yueqi Wu, John McMichael, Michelle Kang Kim, Ricard Corcelles Codina, Carlos Roberto Simons Linares, Carol Rouphael
June 5, 2025

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