Routine endoscopy prior to bariatric surgery: evidence-based necessity or institutional tradition?

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dc.contributor.authorDogan, Serhat
dc.contributor.authorKanat, Burhan Hakan
dc.date.accessioned2026-04-04T13:33:09Z
dc.date.available2026-04-04T13:33:09Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractObesity, a growing global health challenge, requires effective treatment modalities, among which bariatric surgery is the gold standard for patients with Class III obesity (BMI >= 40 kg/m(2) or >= 35 kg/m(2) with comorbidities). While surgical outcomes are well established, the role of routine preoperative Esophagogastroduodenoscopy (EGD) remains debated. This study evaluates the role of EGD in preoperative planning among a Turkish cohort. We conducted a retrospective cross-sectional analysis of 117 patients who underwent Laparoscopic Sleeve Gastrectomy (LSG) or Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) between 2018 and 2021. Data on demographics, comorbidities, endoscopic and histopathologic findings, and surgical modifications were collected. Preoperative EGD revealed pathology in 86.3% of patients, including antral gastritis (64.1%), hiatal hernia (22.2%), and erosive esophagitis (18.8%). Chronic gastritis was confirmed histopathologically in 74.4%, and active Helicobacter pylori infection was identified in 15.4% of surgical specimens. Notably, EGD findings led to changes in surgical management in 18.8% of cases.Our findings support the utility of routine EGD in bariatric surgery, emphasizing its role in identifying otherwise undetected pathologies that influence surgical decision-making. Further multicenter prospective studies are warranted.
dc.identifier.doi10.1186/s12893-025-03098-y
dc.identifier.issn1471-2482
dc.identifier.issue1
dc.identifier.pmid41121114
dc.identifier.urihttps://doi.org/10.1186/s12893-025-03098-y
dc.identifier.urihttps://hdl.handle.net/11616/108963
dc.identifier.volume25
dc.identifier.wosWOS:001598084000002
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofBmc Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectObesity
dc.subjectBariatric surgery
dc.subjectPreoperative Esophagogastroduodenoscopy
dc.subjectHelicobacter pylori
dc.subjectHiatal hernia
dc.subjectSurgical planning
dc.titleRoutine endoscopy prior to bariatric surgery: evidence-based necessity or institutional tradition?
dc.typeArticle

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