Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients - Takeaways - MDSpire

Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients

  • By

  • Walid El Ansari

  • Ayman El-Menyar

  • Brijesh Sathian

  • Hassan Al-Thani

  • Mohammed Al-Kuwari

  • Abdulla Al-Ansari

  • May 28, 2020

  • 0 min

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  • 1

    Routine preoperative esophagogastroduodenoscopy (p-EGD) for bariatric surgery remains debated, with differing recommendations from various medical societies.

  • 2

    Evidence suggests that p-EGD may detect asymptomatic lesions and influence management, but its utility in asymptomatic patients is questioned.

  • 3

    Only 2% of asymptomatic patients undergoing p-EGD had abnormalities that affected treatment plans, indicating low utility in this group.

  • 4

    Most findings from p-EGD in bariatric surgery patients do not significantly alter management, raising concerns about routine screening.

  • 5

    The systematic review and meta-analysis aimed to clarify the justification for routine p-EGD in bariatric surgery, addressing gaps in existing literature.

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