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Corresponding Author

Helaly Boray Ahmed Ibrahiem

Document Type

Original Article

Abstract

Background; Undergoing routine upper gastro intestinal endoscopy before LSG is still a matter of debate till now. Aim and objectives: The purpose of this study was to evaluate the role of upper gastrointestinal endoscopy in obese patients prior to laparoscopic sleeve gastrectomy as regard the presence or absence of any causes of GERD, hiatus hernia, gastric ulcer, or other upper G I T abnormality. Patients and methods: This prospective study was conducted at Al-Azhar University Hospitals from March 2020 March 2022. Result; One week before the operation all patients underwent upper gastrointestinal endoscopy. Only 6 patients (10%) had normal upper gastrointestinal endoscopy findings; however, 54 patients (90%) had abnormal findings ranging from just incompetent cardia or mild gastritis to grade B reflux esophagitis or severe gastritis. There were esophageal findings in 40 patients (66.7%), gastric findings in 43 patients (71.7%) and duodenal findings in 12 patients (20%). Conclusion: Although the majority of the abnormal UPPER G I T findings in our study were of no impact on the surgery, (37.4 % the percentage of abnormal findings that had an impact on surgery) is a great percentage that should be respected. In our study, 22 PATIENTS (37.4%) had abnormal endoscopic findings that had an impact on the operation. So, routine upper gastrointestinal endoscopy before laparoscopic sleeve gastrectomy seems to be of great value. However, no definitive conclusion on its role can be obtained, and doing it routinely preoperatively is still a matter of debate.

Keywords

Keywords: Upper Gastrointestinal Endoscopy; Laparoscopic Sleeve Gastrectomy; obesity.

Subject Area

General Surgery

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