Preoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?

Detalhes bibliográficos
Autor(a) principal: Almeida, Alessandro de Moura
Data de Publicação: 2008
Outros Autores: Cotrim, Helma Pinchemel, Santos, Adimeia Souza, Bitencourt, Almir Galvão Vieira, Barbosa, Daniel Batista Valente, Lobo, Ana Piedade, Rios, Adriano, Alves, Erivaldo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/14328
Resumo: Texto completo: acesso restrito. p. 144-149
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spelling Almeida, Alessandro de MouraCotrim, Helma PinchemelSantos, Adimeia SouzaBitencourt, Almir Galvão VieiraBarbosa, Daniel Batista ValenteLobo, Ana PiedadeRios, AdrianoAlves, ErivaldoAlmeida, Alessandro de MouraCotrim, Helma PinchemelSantos, Adimeia SouzaBitencourt, Almir Galvão VieiraBarbosa, Daniel Batista ValenteLobo, Ana PiedadeRios, AdrianoAlves, Erivaldo2014-01-13T13:23:01Z20081550-7289http://repositorio.ufba.br/ri/handle/ri/14328v. 4, n. 2Texto completo: acesso restrito. p. 144-149Background: Obesity has been shown to be an important risk factor for several gastrointestinal diseases. However, the indication for preoperative upper gastrointestinal endoscopy (UGE) for all patients before bariatric surgery is controversial. The aim of the present study was to evaluate the spectrum of gastrointestinal diseases detected during preoperative UGE in patients undergoing bariatric surgery and the relevance of this procedure. Methods: A series of severely obese patients, who had undergone UGE before Roux-en-Y gastric bypass from October 2004 to May 2005 were consecutively enrolled in this study. The demographic and clinical data and endoscopic diagnoses were evaluated. Gastric biopsies were performed in elective patients according to the endoscopic findings. Results: The study included 162 patients, 69.8% of whom were women. The mean age was 36.7 ± 10.8 years. Abnormal findings were observed in 77.2% of patients. Esophagitis was present in 38.9%, gastritis in 51.2% (erosive gastritis in 49.3% and nonerosive gastritis in 50.7%), gastric ulcers in 1.9%, hiatal hernia, in 8.6%, gastric polyp in .6%, and duodenitis in 6.8% of patients. No patient had esophageal or gastric varices. Helicobacter pylori infection was investigated in 96 patients and was detected in 37.5%. Gastric biopsies were performed in 36 patients, with chronic inflammation found in 72.2%, inflammatory activity in 30.6%, and intestinal metaplasia in 11.1%. Glandular atrophy was not found in any patient. Conclusion: The results of our study have shown that the spectrum of gastrointestinal diseases observed in severely obese patients who underwent bariatric surgery is broad. Although this issue remains highly controversial, these findings suggest that systematic preoperative UGE and H. pylori testing should be performed in all patients scheduled to undergo bariatric surgery.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2013-12-16T13:58:59Z No. of bitstreams: 1 1-s2.0-S1550728908000087-main.pdf: 288813 bytes, checksum: 02b85065923adbf98e10f0fb8fc994e8 (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2014-01-13T13:23:01Z (GMT) No. of bitstreams: 1 1-s2.0-S1550728908000087-main.pdf: 288813 bytes, checksum: 02b85065923adbf98e10f0fb8fc994e8 (MD5)Made available in DSpace on 2014-01-13T13:23:01Z (GMT). No. of bitstreams: 1 1-s2.0-S1550728908000087-main.pdf: 288813 bytes, checksum: 02b85065923adbf98e10f0fb8fc994e8 (MD5) Previous issue date: 2008http://dx.doi.org/10.1016/j.soard.2007.12.006reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBABariatric surgeryObesityEndoscopyEsophagitisGastritisPreoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?Surgery for Obesity and Related Diseasesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINAL1-s2.0-S1550728908000087-main.pdf1-s2.0-S1550728908000087-main.pdfapplication/pdf288813https://repositorio.ufba.br/bitstream/ri/14328/1/1-s2.0-S1550728908000087-main.pdf02b85065923adbf98e10f0fb8fc994e8MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/14328/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXT1-s2.0-S1550728908000087-main.pdf.txt1-s2.0-S1550728908000087-main.pdf.txtExtracted texttext/plain33879https://repositorio.ufba.br/bitstream/ri/14328/3/1-s2.0-S1550728908000087-main.pdf.txt27f7a530e122d2431ba493fab73152a7MD53ri/143282022-08-08 13:17:26.231oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-08-08T16:17:26Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Preoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?
dc.title.alternative.pt_BR.fl_str_mv Surgery for Obesity and Related Diseases
title Preoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?
spellingShingle Preoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?
Almeida, Alessandro de Moura
Bariatric surgery
Obesity
Endoscopy
Esophagitis
Gastritis
title_short Preoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?
title_full Preoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?
title_fullStr Preoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?
title_full_unstemmed Preoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?
title_sort Preoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?
author Almeida, Alessandro de Moura
author_facet Almeida, Alessandro de Moura
Cotrim, Helma Pinchemel
Santos, Adimeia Souza
Bitencourt, Almir Galvão Vieira
Barbosa, Daniel Batista Valente
Lobo, Ana Piedade
Rios, Adriano
Alves, Erivaldo
author_role author
author2 Cotrim, Helma Pinchemel
Santos, Adimeia Souza
Bitencourt, Almir Galvão Vieira
Barbosa, Daniel Batista Valente
Lobo, Ana Piedade
Rios, Adriano
Alves, Erivaldo
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Almeida, Alessandro de Moura
Cotrim, Helma Pinchemel
Santos, Adimeia Souza
Bitencourt, Almir Galvão Vieira
Barbosa, Daniel Batista Valente
Lobo, Ana Piedade
Rios, Adriano
Alves, Erivaldo
Almeida, Alessandro de Moura
Cotrim, Helma Pinchemel
Santos, Adimeia Souza
Bitencourt, Almir Galvão Vieira
Barbosa, Daniel Batista Valente
Lobo, Ana Piedade
Rios, Adriano
Alves, Erivaldo
dc.subject.por.fl_str_mv Bariatric surgery
Obesity
Endoscopy
Esophagitis
Gastritis
topic Bariatric surgery
Obesity
Endoscopy
Esophagitis
Gastritis
description Texto completo: acesso restrito. p. 144-149
publishDate 2008
dc.date.issued.fl_str_mv 2008
dc.date.accessioned.fl_str_mv 2014-01-13T13:23:01Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/14328
dc.identifier.issn.none.fl_str_mv 1550-7289
dc.identifier.number.pt_BR.fl_str_mv v. 4, n. 2
identifier_str_mv 1550-7289
v. 4, n. 2
url http://repositorio.ufba.br/ri/handle/ri/14328
dc.language.iso.fl_str_mv eng
language eng
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dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1016/j.soard.2007.12.006
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