Preoperative management of obese patients undergoing bariatric surgery: Role of endoscopy and Helicobacter eradication.
Obesity is a pandemic disease associated to severe health problems. Management is usually multimodal, but many patients eventually need surgery to reduce weight. Many guidelines recommend endoscopy prior to surgery. This study reviews a series of patients undergoing sleeve gastrectomy to see whether...
| Publicado en: | Obesity Research & Clinical Practice Vol. 15; no. 3; pp. 289 - 291 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
May2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150639752&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150639752 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1871403X 3A05 jtl: Obesity Research & Clinical Practice issn: 1871403X maglogo: N pubinfo: dt: May2021 vid: 15 iid: 3 pid: 1004 pub: Elsevier B.V. artinfo: ui: 150639752 150639752 150639752 10.1016/j.orcp.2021.05.002 150639752 ppf: 289 ppct: 2 formats: tig: atl: Preoperative management of obese patients undergoing bariatric surgery: Role of endoscopy and Helicobacter eradication. aug: au: Gómez García de las Heras, S. Galindo Fernández, C. Ruiz Tovar, J. Fernández-Aceñero, M.J. affil: Basic Health Science Department, Health Science Faculty, Universidad Rey Juan Carlos, Alcorcón (Madrid), Spain sug: subj: Preoperative Care Disease Management Obesity Surgery Bariatric Surgery Gastrectomy Methods Endoscopy, Gastrointestinal Helicobacter Infections Prevention and Control Human Treatment Outcomes Retrospective Design Surgical Patients Postoperative Complications Risk Factors Descriptive Statistics Female Male Adult Middle Age Biopsy Helicobacter Infections Complications Risk Assessment Gastrectomy Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Obesity is a pandemic disease associated to severe health problems. Management is usually multimodal, but many patients eventually need surgery to reduce weight. Many guidelines recommend endoscopy prior to surgery. This study reviews a series of patients undergoing sleeve gastrectomy to see whether endoscopy performance and histopathological findings influence surgery outcome. Retrospective series of patients undergoing sleeve gastrectomy as bariatric procedure at a single institution. We have reviewed the demographic data, the associated pathologies, endoscopic findings prior to surgery, histopathological findings in the surgical resection specimen and postoperative complication rate. 259 patients fulfilled criteria for the study. Over 70% were women and the mean age was 46.9 (SD 9.8). Preoperative endoscopy was performed in 28.9% of the patients and biopsy only in 19.3%. Helicobacter pylori was detected in 28% of the patients undergoing endoscopy (either in the biopsy or the urease test) and eradicated before surgery in all the patients. Helicobacter pylori was present in 9.7% of the surgical resection specimens and its presence was significantly associated with the development of postoperative complications, mostly staple line leaks (p = 0.01). Our study confirms that Helicobacter infection is significantly associated with postoperative complications after sleeve gastrectomy. It is therefore important to detect its presence and eradicate it before surgery. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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