Preoperative upper gastrointestinal endoscopy in obese patients undergoing bariatric surgery: is it necessary?
Autor(a) principal: | |
---|---|
Data de Publicação: | 2008 |
Outros Autores: | , , , , , , |
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 |
id |
UFBA-2_64fda10c64350bf000f833149b081d08 |
---|---|
oai_identifier_str |
oai:repositorio.ufba.br:ri/14328 |
network_acronym_str |
UFBA-2 |
network_name_str |
Repositório Institucional da UFBA |
repository_id_str |
1932 |
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 |
format |
article |
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 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.pt_BR.fl_str_mv |
http://dx.doi.org/10.1016/j.soard.2007.12.006 |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFBA instname:Universidade Federal da Bahia (UFBA) instacron:UFBA |
instname_str |
Universidade Federal da Bahia (UFBA) |
instacron_str |
UFBA |
institution |
UFBA |
reponame_str |
Repositório Institucional da UFBA |
collection |
Repositório Institucional da UFBA |
bitstream.url.fl_str_mv |
https://repositorio.ufba.br/bitstream/ri/14328/1/1-s2.0-S1550728908000087-main.pdf https://repositorio.ufba.br/bitstream/ri/14328/2/license.txt https://repositorio.ufba.br/bitstream/ri/14328/3/1-s2.0-S1550728908000087-main.pdf.txt |
bitstream.checksum.fl_str_mv |
02b85065923adbf98e10f0fb8fc994e8 ff6eaa8b858ea317fded99f125f5fcd0 27f7a530e122d2431ba493fab73152a7 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA) |
repository.mail.fl_str_mv |
|
_version_ |
1808459467564515328 |