Evaluation the role of Esophagogastroduodenoscopy (EGD) in Bariatric Surgery

Authors

Raed Hamed Mansour, Gastroenterology, Hepatology and Infectious diseases, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
Ayman Mohamed Abdelaziz, Department of Gastroenterology, Hepatology and Infectious diseases, Theodor Bilaharse Research Institute, Cairo, Egypt
Mohamed Zakaria Abu Amer, Gastroenterology, Hepatology and Infectious diseases, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
Mohamed Ali Alnadar, Gastroenterology, Hepatology and Infectious diseases, Faculty of Medicine for Boys, Al-Azhar University, Cairo, EgyptFollow

Corresponding Author

Mohamed Ali Alnadar

Document Type

Original Article

Abstract

Background: Bariatric surgery (BS) is a therapeutic choice for severe obesity when non-surgical interventions have failed.

Aim: To evaluate the value of esophagogastroduodenoscopy (EGD) before BS and its efficacy in fixing major surgical complications.

Patients and method: Eight hundred individuals indicated for BS were included and classified into two groups: group A, with upper gastrointestinal (GI) symptoms, and group B, without upper GI symptoms. All of them were subjected to routine preoperative esophagogastroduodenoscopy (p-EGD) to identify pathologic findings that may change surgical planning. Cases that developed post-surgical complications were reviewed regarding the role of EGD in management.

Results: p-EGD was found normal in 50.8% (47.1% of group A vs. 52.9% of group B) and abnormal in 49.2% (52.9% of group A vs. 47.1% of group B), with no significant correlation between GI symptoms and endoscopic findings. Endoscopic findings showed that altered surgical planning was 19.5% (37.6% in group A vs. 8.9% in group B). The clinical success of EGD in the management of postoperative leaks, strictures, and bleeding was nearly 91.1% (41/45), 100% (6/6) and 100% (3/3), respectively.

Conclusion: p-EGD identified findings that had a clinical impact on surgical planning, especially in patients with GI symptoms. EGD proved to be effective in the management of BS complications.

Keywords

Obesity, Bariatric, Endoscopy

Subject Area

Endemic diseases and tropical medicine

How to Cite This Article

Mansour, Raed Hamed; Abdelaziz, Ayman Mohamed; Abu Amer, Mohamed Zakaria; and Alnadar, Mohamed Ali (2024) "Evaluation the role of Esophagogastroduodenoscopy (EGD) in Bariatric Surgery," Al-Azhar International Medical Journal: Vol. 5: Iss. 8, Article 11.
DOI: https://doi.org/10.58675/2682-339X.2587