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Upper Gastrointestinal Endoscopic Screening in Bariatric Surgery Candidates: Correlating the Findings with GERD symptoms.
Ebrahimi, Seyed Ali; Karazhian, Elahe; Mesbah, Narges; Mostafavian, Zahra; Ghamari, Mohammad Javad; Dalili, Amin; Mohammadzadeh, Hamed Gol; Mokhtari, Elham; Mashoufi, Rasam; Zandbaf, Tooraj.
Affiliation
  • Ebrahimi SA; Student Research Committee, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
  • Karazhian E; Department Of Medical-Surgical Nursing, Faculty of Nursing, Mashhad University of Medical Sciences, Mashhad, Iran.
  • Mesbah N; Student Research Committee, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
  • Mostafavian Z; Department of Community Medicine, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
  • Ghamari MJ; Department of General Surgery, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
  • Dalili A; Surgical Oncology Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
  • Mohammadzadeh HG; Department of General Surgery, Mother Hospital, Mashhad, Iran.
  • Mokhtari E; Department of Internal Medicine, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
  • Mashoufi R; Innovative Medical Research Center, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
  • Zandbaf T; Department of General Surgery, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran. tooraj.zandbaf@gmail.com.
Obes Surg ; 34(8): 3005-3011, 2024 Aug.
Article in En | MEDLINE | ID: mdl-39028487
ABSTRACT

INTRODUCTION:

The role of routine preoperative esophagogastroduodenoscopy (EGD) in bariatric surgery candidates is controversial. This study compares preoperative EGD outcomes with patient-reported gastroesophageal reflux disease (GERD) symptoms to determine if a case-based EGD is appropriate. PATIENTS AND

METHODS:

A prospective cohort study was conducted from April 2022 through September 2023 in Mashhad, Iran. All patients underwent EGD. To assess GERD symptoms, we used the GERD-Health Related Quality of Life questionnaire. Patients were categorized into two groups the asymptomatic group (GERD-HRQL = 0) and the symptomatic group (GERD-HRQL > 0).

RESULTS:

A total of 165 patients were included, out of which 133 (80.6%) were in the symptomatic group and 32 (19.4%) were in the asymptomatic group. Esophagitis was present in 41 (24.8%) patients. There was no significant difference in the frequency of esophagitis (18.8% vs. 26.3%, p-value = 0.37), hiatal hernia (18.8% vs. 18.8%, p-value = 1.00), gastritis (56.3% vs. 63.9%, p-value = 0.42), and H. pylori infection (9.4% vs. 12.0%, p-value = 1.00) between the asymptomatic and symptomatic groups, respectively. None of the demographic factors or comorbidities of asymptomatic patients were associated with esophagitis, except for hiatal hernia (OR = 7.67, 95% CI 3.01-19.53, p-value < 0.001). Receiver operating characteristic (ROC) analysis showed that the GERD-HRQL total scores, as well as the heartburn and regurgitation subscales, were poor predictors of esophagitis (AUC 0.57, 0.51, and 0.56, respectively).

CONCLUSION:

EGD findings were not associated with GERD symptoms in candidates for bariatric surgery.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Quality of Life / Obesity, Morbid / Gastroesophageal Reflux / Endoscopy, Digestive System / Bariatric Surgery Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: En Journal: Obes Surg / Obes. surg / Obesity surgery Journal subject: METABOLISMO Year: 2024 Document type: Article Affiliation country: Irán Country of publication: Estados Unidos

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Quality of Life / Obesity, Morbid / Gastroesophageal Reflux / Endoscopy, Digestive System / Bariatric Surgery Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: En Journal: Obes Surg / Obes. surg / Obesity surgery Journal subject: METABOLISMO Year: 2024 Document type: Article Affiliation country: Irán Country of publication: Estados Unidos