Helicobacter pylori and Endoscopic Alterations in Severely Obese Patients Who Have Been Scheduled for Bariatric Surgery.
When the only effective therapeutic intervention for severely obese patients is bariatric surgery, the most frequently used method is a Roux-en-Y gastric bypass (RYGB). Helicobacter pylori (H. pylori) is the cause of most peptic ulcers and gastric cancers. Many experts recommend routine investigatio...
| Publicado en: | Revista Colombiana de Gastroenterología Vol. 30; no. 2; pp. 161 - 167 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Asociacion Colombiana de Gastroenterologia
abr-jun2015
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=116239514&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 116239514 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 01209957 78D5 jtl: Revista Colombiana de Gastroenterología issn: 01209957 maglogo: N pubinfo: dt: abr-jun2015 vid: 30 iid: 2 pid: 47611 pub: Asociacion Colombiana de Gastroenterologia artinfo: ui: 116239514 ppf: 161 ppct: 6 formats: fmt: @attributes: type: P size: 400KB tig: atl: Helicobacter pylori and Endoscopic Alterations in Severely Obese Patients Who Have Been Scheduled for Bariatric Surgery. aug: au: Otero, William Otero, Lina Trespalacios, Alba Alicia affil: Professor of Medicine in the Gastroenterology Unit at the Universidad Nacional de Colombia and Gastroenterologist at the Clínica Fundadores in Bogota, Colombia Internist and Gastroenterology Fellow at the Universidad Nacional de Colombia in Bogota, Colombia Professor in the Department of Microbiology and Coordinator of Medical Microbiology, and the Infectious Diseases Group at Pontificia Universidad Javeriana in Bogota, Colombia su: Helicobacter pylori Bariatric surgery sug: subj: Helicobacter pylori Bariatric surgery keyword: bariatric surgery chronic gastritis Helicobacter obesity ab: When the only effective therapeutic intervention for severely obese patients is bariatric surgery, the most frequently used method is a Roux-en-Y gastric bypass (RYGB). Helicobacter pylori (H. pylori) is the cause of most peptic ulcers and gastric cancers. Many experts recommend routine investigation and eradication of the infection before RYGB. The prevalence of H. pylori and endoscopic alterations among patients scheduled for RYGB had not been studied before in our environment, so we decided to conduct this research. Materials and methods: Severely obese adult patients with no gastric symptoms who were scheduled for RYGB and preoperative upper endoscopy were included in this study. Results: From March 2007 to July 2014, 83 patients were included. 87.95% were women. Mean age was 46.9 +/- 11.4 years (17-62 years). H. pylori was found in 57.83% (95% CI 47.09 - 66.96%) which is similar to the percentage of infections found in people who are not obese. 60% had some degree of erosive esophagitis including esophageal varices in two patients, and GIST in one patient. None had severe atrophy (OLGA III or IV). Conclusion: All patients had some alterations found during endoscopy. Two patients had esophageal varices. The prevalence of H. pylori is similar to that among people who are not obese. Routine upper endoscopy is recommended for all patients prior to RYGB. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Revista Colombiana de Gastroenterología is the property of Asociacion Colombiana de Gastroenterologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Revista Colombiana de Gastroenterología holder: Asociacion Colombiana de Gastroenterologia dt: @attributes: year: 2015 holdings: @attributes: islocal: N |
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