Abstract
Background and Objectives: Bariatric surgery remains the gold standard treatment for morbidly obese patients. Roux-en-y gastric bypass and laparoscopic sleeve gastrectomy are the most frequently performed surgeries worldwide. Obesity has also been related to gastroesophageal reflux disease (GERD). The management of a preoperative diagnosis of GERD, with/without hiatal hernia before bariatric surgery, is mandatory. Endoscopy can show abnormal findings that might influence the final type of surgery. The aim of this article is to discuss and review the evidence related to the endoscopic findings after bariatric surgery. Materials and Methods: A systematic review of the literature has been conducted, including all recent articles related to endoscopic findings after bariatric surgery. Our review of the literature has included 140 articles, of which, after final review, only eight were included. The polled articles included discussion of the endoscopy findings after roux-en-y gastric bypass and laparoscopic sleeve gastrectomy. Results: We found that the specific care of bariatric patients might include an endoscopic diagnosis when GERD symptoms are present. Conclusions: Recent evidence has shown that endoscopic follow-up after laparoscopic sleeve gastrectomy could be advisable, due to the pathological findings in endoscopic procedures in asymptomatic patients.
Highlights
Bariatric surgery (BS) is the most effective treatment for morbid obesity and obtains the best long-term outcomes [1]
We found that the specific care of bariatric patients might include an endoscopic diagnosis when gastroesophageal reflux disease (GERD) symptoms are present
The authors found that Laparoscopic sleeve gastrectomy (LSG) showed a higher risk of GERD than laparoscopic Roux-en-Y gastric bypass (LRYGB) (OR = 5.10, 95% CI 3.60–7.23, p < 0.001); the results were consistent in the subgroup analysis according to type of study, follow-up time, low heterogeneity, and the risk of GERD after surgery
Summary
Bariatric surgery (BS) is the most effective treatment for morbid obesity and obtains the best long-term outcomes [1]. Gastroesophageal reflux disease (GERD) is recognized as a linked condition to obesity, especially morbid obesity [1,3,4]. This association between obesity and GERD is very well-known. The aim of this article is to discuss and review the evidence related to the endoscopic findings after bariatric surgery. Materials and Methods: A systematic review of the literature has been conducted, including all recent articles related to endoscopic findings after bariatric surgery. The polled articles included discussion of the endoscopy findings after roux-en-y gastric bypass and laparoscopic sleeve gastrectomy. Conclusions: Recent evidence has shown that endoscopic follow-up after laparoscopic sleeve gastrectomy could be advisable, due to the pathological findings in endoscopic procedures in asymptomatic patients
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