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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2022; 12(04): 423-426
DOI: 10.1055/s-0042-1743190
Original Article

Preoperative Upper Gastrointestinal Endoscopy Prior to Sleeve Gastrectomy: To Do, or Not to Do

Nermin D. Okay 
1   Department of General Surgery, Ankara City Hospital, Ankara, Turkey
,
Barış D. Yıldız 
2   Department of General Surgery, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkey
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Abstract

There is controversy about the requirement of preoperative upper gastrointestinal (GI) endoscopy for sleeve gastrectomy patients. The aim of this study is to understand the necessity of a preoperative upper GI endoscopy before sleeve gastrectomy. In this study, the incidental findings encountered in sleeve gastrectomy pathology specimens of a cohort of patients were analyzed. A total of 270 patients who had sleeve gastrectomy at Ankara Numune Teaching Hospital, General Surgery Clinic, between 2011 and 2016 were evaluated. Histopathological examination of sleeve gastrectomy specimens was performed. Chronic gastritis in 76.6% and intestinal metaplasia in 4.1% of patients were observed. A GI stromal tumor was found in one male patient. Also, an active gastric ulcer was detected in one patient. Only 13 (4.9%) out of 270 patients had a postoperative pathology needing follow-up. None of our findings would have an impact of changing the surgical approach. Therefore, the results of this study suggested that application of a preoperative GI endoscopy is not necessary prior to sleeve gastrectomy in patients without upper GI symptoms.

Keywords

endoscopy - gastrointestinal stromal tumor - obesity - sleeve gastrectomy

Ethical Approval

This study was approved by Ankara Numune Teaching Hospital Ethical Committee (approval number: E-16–1153) and performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.




Publication History

Article published online:
18 February 2022

© 2022. Nitte (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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