Authors: Cindy Mong Jacques Van Dam John Morton Lauren Gerson Myriam Curet Subhas Banerjee
Publish Date: 2008/06/24
Volume: 18, Issue: 9, Pages: 1067-1073
Abstract
Patients undergoing laparoscopic RouxenY bariatric surgery undergo screening esophagoduodenoscopy EGD during preoperative evaluation The hypothesis is to examine the utility of this examination The purpose of this study was to evaluate the prevalence of clinically significant upper gastrointestinal UGI tract findings at screening EGD in patients undergoing laparoscopic RouxenY bariatric surgery A secondary aim was to determine whether preprocedure symptoms could predict findings at EGDWe evaluated records of patients undergoing EGD prior to bariatric surgery between 2000 and 2005 at the Stanford University Medical Center Clinical endoscopic and pathological data were analyzed The prevalence of endoscopic findings of clinical significance was determinedTwo hundred seventy two complete patient records were identified and included in the study Of these 237 87 were female and 197 72 were Caucasian The mean age was 43 ± 968 years and mean body mass index was 48 ± 795 kg/m2 Of the 272 patients 33 12 had EGD findings of clinical significance including erosive esophagitis 37 Barrett’s esophagus 37 gastric ulcers 29 erosive gastritis 18 duodenal ulcers 07 and gastric carcinoid 03 No patients had malignancy Of these 33 patients 22 67 had UGI symptomsCindy Mong was supported by the Stanford University Medical Scholars Program and the American Gastroenterological Association Student Research Fellowship and Travel Award We thank Doris Wang for secretarial support Portions of this work were presented at the Digestive Disease Week Gastroenterology 2006
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