The Yield of Preoperative Esophagogastroduodenoscopy in Patients Undergoing Bariatric Surgery After Gastric Banding

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-01-01 DOI:10.1016/j.tige.2023.02.002

Leontien M.G. Nijland , Kevin E.J. van den Brule , Ruben N. van Veen , Pim W. van Rutte , Sjoerd D. Kuiken , Steve M.M. de Castro

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引用次数: 0

Abstract

Background and Aims

Esophagogastroduodenoscopy (EGD) is routinely performed in patients who undergo conversion from adjustable gastric banding to another bariatric procedure (eg, gastric bypass) of band removal. Band erosion is the main concern in these patients. The objective of this study was to analyze the yield of EGD in these patients.

Methods

All patients between 2008 and 2020 who underwent bariatric surgery with an adjustable gastric band in place were included. Results of EGD were analyzed retrospectively and categorized according to clinical consequences.

Results

Overall, 514 patients (62 male, 452 female; mean age 46 years; mean BMI 40) underwent surgery with an adjustable gastric band in situ. In total, 488 patients (95%) underwent preoperative EGD. No abnormalities were found in 205 patients (42%), 112 patients (23%) had abnormalities without treatment consequences, 156 patients (32%) had findings that required pharmaceutical (ie, proton pump inhibitors and/or antibiotics) intervention, and 15 patients (3.1%) had severe findings altering management (group D). In 5 of these patients (1.0%), surgery was postponed due to Barrett's esophagus, and 10 of these patients (2.0%) had gastric band erosion. No subgroup of patients could be identified to increase the yield of the EGD.

Conclusion

Routine preoperative assessment by EGD in patients before bariatric surgery with an adjustable gastric band in situ still detects some severe abnormalities significantly altering management.

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胃束带术后减肥手术患者术前食管胃十二指肠镜检查的结果

背景和目的食管胃十二指肠镜检查（EGD）是对从可调节胃束带术转换为另一种减肥手术（如胃旁路术）的患者进行的常规检查。带状侵蚀是这些患者主要关心的问题。本研究的目的是分析这些患者的EGD产量。方法纳入2008年至2020年期间接受可调节胃束带减肥手术的所有患者。对EGD的结果进行回顾性分析，并根据临床结果进行分类。结果514名患者（62名男性，452名女性；平均年龄46岁；平均BMI 40）接受了原位可调节胃束带的手术。总共有488名患者（95%）接受了术前EGD。205名患者（42%）未发现异常，112名患者（23%）出现异常而无治疗后果，156名患者（32%）发现需要药物（即质子泵抑制剂和/或抗生素）干预，15名患者（3.1%）发现严重改变治疗（D组）。其中5名患者（1.0%）因Barrett食管而推迟手术，其中10名患者（2.0%）出现胃束带侵蚀。没有发现任何亚组的患者可以增加EGD的产量。结论在原位可调节胃束带的减肥手术前，通过EGD对患者进行常规术前评估，仍然可以发现一些严重的异常，从而显著改变治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.