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Role of endoscopy in the bariatric surgery of patients.
[esophageal adenocarcinoma]
Obesity
is
an
increasingly
serious
health
problem
in
nearly
all
Western
countries
.
It
represents
an
important
risk
factor
for
several
gastrointestinal
diseases
,
such
as
gastroesophageal
reflux
disease
,
erosive
esophagitis
,
hiatal
hernia
,
Barrett
's
esophagus
,
esophageal
adenocarcinoma
,
Helicobacter
pylori
infection
,
colorectal
polyps
and
cancer
,
non-alcoholic
fatty
liver
disease
,
cirrhosis
,
and
hepatocellular
carcinoma
.
Surgery
is
the
most
effective
treatment
to
date
,
resulting
in
sustainable
and
significant
weight
loss
,
along
with
the
resolution
of
metabolic
comorbidities
in
up
to
80
%
of
cases
.
Many
of
these
conditions
can
be
clinically
relevant
and
have
a
significant
impact
on
patients
undergoing
bariatric
surgery
.
There
is
evidence
that
the
chosen
procedure
might
be
changed
if
specific
pathological
upper
gastrointestinal
findings
,
such
as
large
hiatal
hernia
or
Barrett
's
esophagus
,
are
detected
preoperatively
.
The
value
of
a
routine
endoscopy
before
bariatric
surgery
in
asymptomatic
patients
(
screening
esophagogastroduodenoscopy
)
remains
controversial
.
The
common
indications
for
endoscopy
in
the
postoperative
bariatric
patient
include
the
evaluation
of
symptoms
,
the
management
of
complications
,
and
the
evaluation
of
weight
loss
failure
.
It
is
of
critical
importance
for
the
endoscopist
to
be
familiar
with
the
postoperative
anatomy
and
to
work
in
close
collaboration
with
bariatric
surgery
colleagues
in
order
to
maximize
the
outcome
and
safety
of
endoscopy
in
this
setting
.
The
purpose
of
this
article
is
to
review
the
role
of
the
endoscopist
in
a
multidisciplinary
obesity
center
as
it
pertains
to
the
preoperative
and
postoperative
management
of
bariatric
surgery
patients
.
Diseases
Validation
Diseases presenting
"increasingly serious health problem"
symptom
esophageal adenocarcinoma
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