Abstract
Obesity is a chronic disease affecting patients from different age groups. It is currently recognized as a global epidemic [1], and is a major cause of morbidity and mortality. The prevalence of obesity in the United States continues to increase and currently exceeds 30% in most sex and age groups [2], Bariatric surgery is an effective and durable method for weight loss. With the growing incidence of obesity, the number of bariatric surgical procedures performed will continue to rise. Inevitably, this will translate to an increase in the incidence of complications and associated symptoms related to these procedures. The most common indication for endoscopy in bariatric surgical patients is for evaluation of symptoms (abdominal pain, nausea, vomiting, reflux, dysphagia, or weight regain) or treatment of complications (stomal stenosis, marginal ulcer, or band erosion) [3], With the continued increase in the number of specialists skilled in endoscopy, it would be ideal to diagnose and possibly manage these in non-tertiary care centers. This would potentially decrease the morbidity and mortality associated with these complications.
Highlights
Obesity is a chronic disease affecting patients from different age groups
The most common indication for endoscopy in bariatric surgical patients is for evaluation of symptoms or treatment of complications [3], With the continued increase in the number of specialists skilled in endoscopy, it would be ideal to diagnose and possibly manage these in non-tertiary care centers
The most common endoscopic findings in symptomatic patients after a roux en y gastric bypass are marginal ulcers, stenosis or staple dehiscence [4], Marginal ulcers can occur in up to 20% of patients with gastric bypass usually at the intestinal side of the gastro - jejunal anastomosis [3], It is associated with presence of H.Pylori infection or a gastrogastric fistula [5], Use of non-steroidal anti-inflammatory drugs or smoking increases the risk of ulceration
Summary
Obesity is a chronic disease affecting patients from different age groups. It is currently recognized as a global epidemic [1], and is a major cause of morbidity and mortality. The prevalence of obesity in the United States continues to increase and currently exceeds 30% in most sex and age groups [2], Bariatric surgery is an effective and durable method for weight loss.
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