Retrospective Cohort Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. May 25, 2016; 8(10): 409-417
Published online May 25, 2016. doi: 10.4253/wjge.v8.i10.409
Place of upper endoscopy before and after bariatric surgery: A multicenter experience with 3219 patients
Mohamed E Abd Ellatif, Haitham Alfalah, Walid A Asker, Ayman E El Nakeeb, Alaa Magdy, Waleed Thabet, Mohamed A Ghaith, Emad Abdallah, Rania Shahin, Asharf Shoma, Ibraheim E Dawoud, Ashraf Abbas, Asaad F Salama, Maged Ali Gamal
Mohamed E Abd Ellatif, Alaa Magdy, Waleed Thabet, Emad Abdallah, Asharf Shoma, Ibraheim E Dawoud, Ashraf Abbas, Department of Surgery, Mansoura University Hospital, Mansoura 35511, Dakahlia, Egypt
Haitham Alfalah, Consultant of Bariatric Surgery, King Saud Medial City (KSMS), Riyadh 12746, Saudi Arabia
Walid A Asker, Ayman E El Nakeeb, Gastroenterology Surgical Center, Mansoura University, Mansoura 35511, Dakahlia, Egypt
Mohamed A Ghaith, Department of Anesthesia, Mansoura University Hospital, Mansoura 35511, Dakahlia, Egypt
Rania Shahin, Department of Clinical Pathology, Benha University Hospital, Benha 13111, Egypt
Asaad F Salama, Maged Ali Gamal, Department of Surgery, Jahra Hospital, Al-Jahra 01753, Kuwait
Author contributions: Abd Ellatif ME, Alfalah H, Asker WA, El Nakeeb AE, Magdy A, Thabet W, Gheith MA, Abdallah E, Shahin R, Shoma A, Dawoud IE, Abbas A, Salama AF and Ali MG contributed equally to this work; Abd Ellatif ME, Asker WA, and El Nakeeb AE designed the research; Abd Ellatif ME, Asker WA, El Nakeeb AE, Magdy A, Thabet W, Gheith MA, Shahin R, Ali Gamal M, Abbas A and Dawoud IE performed the research; Abd Ellatif ME and Gheith MA analyzed the data; Abd Ellatif ME and Shahin R wrote the paper.
Institutional review board statement: The study was reviewed and approved for publication by our Institutional Reviewer (code No. R/15.08.44).
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors have no conflict of interest related to the manuscript.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at surg_latif@hotmail.com.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Mohamed E Abd Ellatif, Department of Surgery, Mansoura University Hospital, Gihan El Sadat St., Mansoura 35511, Dakahlia, Egypt. surg_latif@hotmail.com
Telephone: +2-0111-5051680
Received: August 24, 2015
Peer-review started: August 28, 2015
First decision: September 28, 2015
Revised: March 12, 2016
Accepted: March 17, 2016
Article in press: March 18, 2016
Published online: May 25, 2016
Core Tip

Core tip: It is still a major controversial point to do routine screening endoscopy for obese patients before surgery. Many authors suggest doing upper esophagogastroduodenoscopy (EGD) for all patients before bariatric procedures because of the lack of correlation between patient symptoms and EGD findings. On the contrary, many other investigators advocate selective approach for asymptomatic patients because of the relatively weak clinical relevance of the majority of the lesions discovered on routine EGD along with the cost and invasiveness of the EGD. The upper endoscopy is commonly indicated in the postoperative bariatric patient to evaluate post-bariatric symptoms, to detect and manage complications, as well as evaluation of failure of weight loss. Post-bariatric complications prompting upper endoscopy include bleeding, anastomotic or staple line leaks or fistulae, sleeve stricture in laparoscopic sleeve gastrectomy or stomal stenosis in laparoscopic Roux en Y gastric bypass, or laparoscopic minigastric bypass. We aimed in this retrospective study to answer if it is still necessary to do pre-bariatric screening endoscopy and to evaluate the efficacy and safety of the endoscopic therapy for management of post-bariatric complications.