Usefulness of Upper Gastrointestinal Symptoms as a Driver to Prescribe Gastroscopy in Obese Patients Candidate to Bariatric Surgery. A Prospective Study.


BACKGROUND:Before bariatric surgery, the necessity of routine upper gastrointestinal endoscopy is controversial, and guidelines recommend endoscopy in symptomatic cases. However, impaired visceral sensation occurring in obese patients may be misleading. The purpose of the study is to evaluate prospectively the prevalence of gastrointestinal symptoms, endoscopic findings, and the relation between symptoms and endoscopic findings in obese patients before surgery. MATERIALS AND METHODS:One hundred forty-two consecutive patients candidate to primary bariatric surgery filled out the validated Rome III symptomatic questionnaire and performed endoscopy. RESULTS:With a median age of 41 years and BMI of 44 Kg/m(2), 83% were females. Symptoms were referred by 43% of patients: gastroesophageal reflux disease (GERD) (27.9%) and dyspepsia (24.6%), subdivided in postprandial distress (PDS) (66.7%) and epigastric pain (33.3%) syndromes. Of GERD patients, 19.7% presented concomitantly PDS. Belching was present in 8.2% and nausea and/or vomiting in 1.6% of patients. At endoscopy, one or more lesions were present in 47.1% of the patients: erosive esophagitis (5.6%), hiatal hernia (23.2%), gastroduodenal erosions (6.3%), and peptic ulcers (3.5%). At histology, 24% of patients have Helicobacter pylori infection, and its prevalence in gastroduodenal erosions and ulcers was 22.2 and 60%, respectively. Surprisingly, in patients with peptic lesions H. pylori-negative, no chronic use of NSAIDs was reported. Analyzing the coexistence of symptoms and lesions, these resulted equally distributed beyond the presence of symptoms, being present in 44.2 and 49.4% of symptomatic and asymptomatic patients, respectively. CONCLUSIONS:The presence of symptoms cannot be considered as a valuable guide to indicate endoscopy since the majority of endoscopic lesions were asymptomatic and not H. pylori-related.


Obes Surg


Obesity surgery


Carabotti M,Avallone M,Cereatti F,Paganini A,Greco F,Scirocco A,Severi C,Silecchia G




Has Abstract


2016-05-01 00:00:00














  • Repositioning the Lap-Band for proximal pouch dilatation.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) procedures have proved their efficiency and reproducibility in several studies. The most frequent late complication is proximal pouch dilatation, with possible progression to total food intolerance. MATERIALS AND METHODS:In a series of 727 laparoscopic bandings...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Vertruyen M

    更新日期:2003-04-01 00:00:00

  • Effect of weight loss on aerobic capacity in patients with severe obesity before and after bariatric surgery.

    abstract::Severe obesity has been associated with adverse effects on physical capacity. In a prospective study, the aerobic capacity of severely obese patients was measured in order to observe the physiological response to weight loss from bariatric surgery. Sixty-five consecutive patients (40.4 +/- 8.4 years old; 93.8% female;...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: de Souza SA,Faintuch J,Sant'anna AF

    更新日期:2010-07-01 00:00:00

  • Are we operating too late? Mortality Analysis and Stochastic Simulation of Costs Associated with Bariatric Surgery: Reconsidering the BMI Threshold.

    abstract:BACKGROUND:Present guidelines recommend bariatric surgery at BMI ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 with obesity-related morbidity. METHODS:Evidence for cost and mortality/morbidity risk of bariatric surgery and obesity-related diseases was evaluated determining equivalency point of absolute incremental mortality risk by BM...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Sinha AC,Singh PM,Bhat S

    更新日期:2016-01-01 00:00:00

  • Upper Gastrointestinal Endoscopy prior to Bariatric Surgery-Mandatory or Expendable? An Analysis of 801 Cases.

    abstract:BACKGROUND:Upper gastrointestinal pathologies are common in bariatric patients. Preoperative esophagogastroduodenal endoscopy (EGD) should detect and treat pathologies that might alter the type of bariatric surgery. However, clinical consequences of these findings are often insignificant. The aim of this study was to a...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Wolter S,Duprée A,Miro J,Schroeder C,Jansen MI,Schulze-Zur-Wiesch C,Groth S,Izbicki J,Mann O,Busch P

    更新日期:2017-08-01 00:00:00

  • Oral liquid L-thyroxine (L-t4) may be better absorbed compared to L-T4 tablets following bariatric surgery.

    abstract::Drug malabsorption is a potential concern after bariatric surgery. We present four case reports of hypothyroid patients who were well replaced with thyroxine tablets to euthyroid thyrotropin (TSH) levels prior to Roux-en-Y gastric bypass surgery. These patients developed elevated TSH levels after the surgery, the TSH ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Pirola I,Formenti AM,Gandossi E,Mittempergher F,Casella C,Agosti B,Cappelli C

    更新日期:2013-09-01 00:00:00

  • Laparoscopic Revision of Bariatric Surgeries in Two Patients with Severe Resistant Hypocalcemia After Endocrine Cervical Surgery.

    abstract::Severe hypocalcemia complicating cervical endocrine surgery in patients with gastric bypass can constitute a major concern. When usual therapies fail to maintain calcemia within the normal range without secondary adverse events, reversal of the bariatric surgery should be considered. We herein report the outcomes of l...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Zaarour M,Zaharia R,Bretault M,Jublanc C,De Marcellus C,Bouillot JL,Lefebvre H,Oppert JM,Aron-Wisnewsky J,Raffin-Sanson ML

    更新日期:2020-04-01 00:00:00

  • Dynamic radioisotope scintigraphy for gastric banding adjustment.

    abstract:BACKGROUND:Gastric banding is today a common restrictive procedure to treat morbid obesity. After operation, adjustment of the band is required to adequately restrict food intake, allowing better results. The aim of this study was to evaluate the results of a unique method of adjustment using dynamic radioisotope scint...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Susmallian S,Filyavich A,Maiershon I,Charuzi I,Lorberboym M

    更新日期:2004-04-01 00:00:00

  • Prevalence of Vitamin D Depletion, and Associated Factors, among Patients Undergoing Bariatric Surgery in Southern Brazil.

    abstract:BACKGROUND:Hypovitaminosis D is common, before and after gastric bypass surgery. The prevalence of hypovitaminosis D in a large group of candidates for bariatric surgery in Brazil and South America has not been studied. OBJECTIVE:To evaluate the prevalence of hypovitaminosis D and associated factors in patients underg...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Vivan MA,Kops NL,Fülber ER,de Souza AC,Fleuri MASB,Friedman R

    更新日期:2019-10-01 00:00:00

  • "Black Esophagus" and Gastric Volvulus Following Slipped Laparoscopic Adjustable Gastric Band.

    abstract::To review the entity "black esophagus" and sequela of a slipped laparoscopic adjustable band. The patient's history, physical examination, imaging, and endoscopic findings were reviewed. Detailed review of pathophysiology, presentation, diagnosis, management, and natural history was conducted. "Black esophagus," also ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Moore C,Matthews LR,Danner O,Taha A,Bashan-Gilzenrat A,Nguyen J,Childs E,Udobi K

    更新日期:2018-09-01 00:00:00

  • Preoperative Interventions for Patients Being Considered for Bariatric Surgery: Separating the Fact from Fiction.

    abstract::Preoperative interventions aimed at patients referred for bariatric surgery continue to divide funders, commissioners, and practitioners alike. A number of preoperative interventions and variables have been used to influence patient selection. Many of these are believed to lead to better postoperative outcomes by help...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审


    authors: Mahawar KK,Parmar C,Carr WR,Jennings N,Schroeder N,Balupuri S,Small PK

    更新日期:2015-08-01 00:00:00

  • Gastric bezoar after laparoscopic Roux-en-Y gastric bypass.

    abstract::Gastric bezoar is an uncommon complication following Roux-en-Y gastric bypass (RYGBP). We report two cases of bezoar formation that occurred following laparoscopic RYGBPs. In both cases, the patients presented with abdominal pain, nausea, and "frothy" vomiting. The patients were successfully treated by endoscopic frag...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Pinto D,Carrodeguas L,Soto F,Lascano C,Cho M,Szomstein S,Rosenthal R

    更新日期:2006-03-01 00:00:00

  • Delayed Intra Splenic Abscess: a Specific Complication Following Laparoscopic Sleeve Gastrectomy.

    abstract:BACKGROUND:Delayed intra splenic abscess after laparoscopic sleeve gastrectomy (LSG) is a very rare complication with poor manifestations. METHODS:We present three cases of delayed intrasplenic abscess which were managed in our departmentof minimal invasive surgery. DISCUSSION:Splenic abscess may occur in the early p...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Nassour F,Schoucair NM,Tranchart H,Maitre S,Dagher I

    更新日期:2018-02-01 00:00:00

  • Impact of Resection Volume/Stapler Firings-Ratio on Perioperative Complications and Weight Loss After Laparoscopic Sleeve Gastrectomy.

    abstract:BACKGROUND:Major postoperative morbidity after laparoscopic sleeve gastrectomy (LSG) is often related to staple line leaks (SLL). Of note, a recent study suggested a central role of the absolute numbers of stapler firings as a predictive factor for postoperative morbidity due to SLL. In addition, a larger gastric remna...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Penna AD,Lange J,Archid R,Hönes F,Königsrainer A,Quante M

    更新日期:2021-01-01 00:00:00

  • Biliopancreatic Diversion with a New Type of Gastrectomy.

    abstract::In an attempt to improve the results of biliopancreatic diversion in the treatment of morbid obesity, two aspects of the procedure performed at Laval Hospital were modified to reduce adverse physiological consequences. The distal gastrectomy was replaced by a parietal gastrectomy which preserves vagal continuity along...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Marceau P,Biron S,Bourque RA,Potvin M,Hould FS,Simard S

    更新日期:1993-02-01 00:00:00

  • Regional variations in gastric bypass surgery: results from the 2005 nationwide inpatient sample.

    abstract:BACKGROUND:The purpose of this study is to use nationally representative data to examine regional variations in the use and outcomes of gastric bypass surgery. METHODS:Using data from the Nationwide Inpatient Sample (NIS), we identified adults undergoing gastric bypass surgery (n = 92,910) in 2005. Following descripti...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Weller WE,Rosati C

    更新日期:2008-10-01 00:00:00

  • Impact of gastric banding on plasma adiponectin levels.

    abstract:BACKGROUND:Several endocrine abnormalities are reported in obesity. In an earlier study, we found that the changes in BMI following laparoscopic adjustable gastric banding (LAGB) were associated with changes in hormone profiles such as insulin and proinsulin. In the current study, we explored the changes in plasma adip...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Diker D,Vishne T,Maayan R,Weizman A,Vardi P,Dreznik Z,Seror D,Ram E

    更新日期:2006-08-01 00:00:00

  • Preoperative preparatory program has no effect on morbidly obese patients undergoing a Lap-Band operation.

    abstract:BACKGROUND:A preoperative preparatory program may help morbidly obese patients cope with postoperative pain and vomiting, and reduce length of nursing care. METHODS:A preoperative preparatory program was given to randomly selected morbidly obese women about to undergo a Lap-Band stomach reduction operation. RESULTS:S...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Hörchner R,Tuinebreijer W

    更新日期:1999-06-01 00:00:00

  • Reduced cardiovascular risk following bariatric surgeries is related to a partial recovery from "adiposopathy".

    abstract:BACKGROUND:Altered cytokine secretion from dysfunctional adipose tissue or "adiposopathy" is implicated in obesity related inflammation and may mediate reduced cardiovascular disease (CVD) risk in response to weight loss after bariatric surgery. We hypothesized that bariatric surgery reduces CVD risk by favorably alter...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Appachi S,Kelly KR,Schauer PR,Kirwan JP,Hazen S,Gupta M,Kashyap SR

    更新日期:2011-12-01 00:00:00

  • A Clinical Study of Protein Sparing Modified Fast (PSMF) Administered Preoperatively to Morbidly Obese Patients: comparison of PSMF with natural food products to originally prepared PSMF.

    abstract::Morbidly obese patients are generally in a malnutritional state with an extremely high operative risk. In order to reduce the operative risk, surgeons should make every effort before the operation. A protein sparing modified fast (PSMF) may exhibit its high effectiveness when taken at least for 2 weeks preoperatively....

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Kawamura I I,Chen CC,Yamazaki K,Miyazawa Y,Isono K

    更新日期:1992-02-01 00:00:00

  • The Positive Effects of the Human Amniotic Membrane on the Healing of Staple Line After Sleeve Gastrectomy Applied Long-Evans Rat Model.

    abstract:BACKGROUND:The staple line leakage is a dangerous complication of sleeve gastrectomy. Various strategies have been tried to reduce the leakage risk. The amniotic membrane (AmM) is the inner layer of the placental membranes and has anti-inflammatory, anti-fibrosis, and anti-scarring effects, and it also has lower immune...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Ferhatoglu MF,Kıvılcım T,Senol K,Vural G,Kartal A,İncir S,Filiz Aİ,Kebudi A

    更新日期:2019-11-01 00:00:00

  • Ursodeoxycholic Acid in the Prevention of Gallstone Formation After Bariatric Surgery: an Updated Systematic Review and Meta-analysis.

    abstract::We aim to review the available literature on obese patients treated with ursodeoxycholic acid (UDCA) in order to prevent gallstone formation after bariatric surgery. A systematic literature search was performed in PubMed, Cochrane library, and Scopus databases, in accordance with the PRISMA guidelines. Eight studies m...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,评审


    authors: Magouliotis DE,Tasiopoulou VS,Svokos AA,Svokos KA,Chatedaki C,Sioka E,Zacharoulis D

    更新日期:2017-11-01 00:00:00

  • When and How to "Open" in Laparoscopic or Robotic Surgery.

    abstract:INTRODUCTION:Surgical training today is all about minimally invasive surgery. With little or no experience and/or confidence in rapid, emergent conversion to an open procedure, how does the surgeon expeditiously do so? OBJECTIVES:The intent of this paper is to help those inexperienced in "open" techniques to quickly r...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Jones KB Jr

    更新日期:2016-04-01 00:00:00

  • Effects of Biliopancreatic Diversion on Bone Turnover Markers and Association with Hormonal Factors in Patients with Severe Obesity.

    abstract:BACKGROUND:This study evaluated early and medium-term changes in bone turnover markers, and their associations with weight loss, total bone mineral density (BMD), and hormonal changes after biliopancreatic diversion (BPD). METHODS:Ancillary study from a one-year prospective cohort of 16 individuals assessed before, 3 ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Turcotte AF,Grenier-Larouche T,Ung RV,Simonyan D,Carreau AM,Carpentier AC,Mac-Way F,Michou L,Tchernof A,Biertho L,Lebel S,Marceau S,Gagnon C

    更新日期:2019-03-01 00:00:00

  • BAROS: an effective system to evaluate the results of patients after bariatric surgery.

    abstract:BACKGROUND:Success in bariatric surgery is most often evaluated by a sufficient loss of excess weight and an improvement in the medical conditions. The expected increase in quality of life (QoL) after weight loss, however, has not often been systematically analyzed. BAROS (Bariatric Analysis and Reporting Outcome Syste...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Wolf AM,Falcone AR,Kortner B,Kuhlmann HW

    更新日期:2000-10-01 00:00:00

  • Is There a Better Design for a Bariatric Procedure? The Case for a Single Anastomosis Duodenal Switch.

    abstract::The majority of bariatric surgical stapling procedure concepts were developed prior to the understanding of obesity as an energy storage disease. Conventional treatments did not consider the impact of macronutrients on hormones and glucose variability. Current recommendations suggest diets low in glycemic load, with m...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审


    authors: Roslin M,Tugertimur B,Zarabi S,Cottam D

    更新日期:2018-12-01 00:00:00

  • Bleeding from the upper gastrointestinal tract after Mason's vertical banded gastroplasty.

    abstract:BACKGROUND:Gastric bleeding is a rare complication after a vertical banded gastroplasty (VBG). Only a few cases of gastric bleeding after a VBG have been reported, and there is discussion about its etiology. We present two cases of gastric bleeding after a VBG, and discuss the etiology, diagnostic approach and manageme...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Papakonstantinou A,Terzis L,Stratopoulos C,Mablekou E,Papadimitriou N,Hadjiyannakis E

    更新日期:2000-12-01 00:00:00

  • Perforation of the esophagus caused by the insertion of an intragastric balloon for the treatment of obesity.

    abstract::Obesity is an enduring chronic disease, with multifactorial etiology. Many procedures and solutions have been proposed in the last 25 years. If patients do not meet the criteria for bariatric surgery, intragastric balloons may be used to achieve weight reduction. Contraindications to balloon therapy are a large hiatal...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Nijhof HW,Steenvoorde P,Tollenaar RA

    更新日期:2006-05-01 00:00:00

  • Calculating surgical costs: how accurate and predictable is the cost of a laparoscopic Roux-en-Y gastric bypass?

    abstract:BACKGROUND:Although bariatric surgery is highly effective for controlling obesity and its complications, it is uncovered by third-party payers in many countries. High cost and unpredictable expenses account for the lack of coverage. We developed at our obesity clinic a fixed package for the Laparoscopic Roux-en-Y Gastr...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Mosti M,Domínguez G,Herrera MF

    更新日期:2007-12-01 00:00:00

  • Port complications following laparoscopic adjustable gastric banding for morbid obesity.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) has gained widespread acceptance. However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyzed them, ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Keidar A,Carmon E,Szold A,Abu-Abeid S

    更新日期:2005-03-01 00:00:00

  • Safety and Effectiveness of an Endoscopically Placed Duodenal-Jejunal Bypass Device (EndoBarrier®): Outcomes in 114 Patients.

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    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Forner PM,Ramacciotti T,Farey JE,Lord RV

    更新日期:2017-12-01 00:00:00