Routine surveillance endoscopy before and after sleeve gastrectomy?

doi:10.4253/wjge.v11.i1.1

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Editorial

World J Gastrointest Endosc. Jan 16, 2019; 11(1): 1-4
Published online Jan 16, 2019. doi: 10.4253/wjge.v11.i1.1

Routine surveillance endoscopy before and after sleeve gastrectomy?

Pierre-Philippe Garnier, Olivier Favre, Chloé Serayssol, Sarah Bekkar, Bénédicte Deparseval, Rani Kassir, Radwan Kassir

Radwan Kassir, Rani Kassir, Bénédicte Deparseval, Sarah Bekkar, Chloé Serayssol, Department of Bariatric Surgery, CHU Félix Guyon, La Réunion, Saint Denis 97400, France

Olivier Favre, Pierre-Philippe Garnier, Department of Gastroenterology, CHU Félix Guyon, La Réunion, Saint Denis 97400, France

Author contributions: All authors participated in all stages of development of the study.

Conflict-of-interest statement: The authors declare no conflict of interest.

Corresponding author: Radwan Kassir, MD, Professor, Department of Bariatric Surgery, CHU Félix Guyon, La Réunion, Allée des Topazes, Saint Denis 97400, France. radwankassir42@hotmail.fr

Telephone: +33-613-591971 Fax: +33-477-127050

Received: June 4, 2018
Peer-review started: June 4, 2018
First decision: June 15, 2018
Revised: November 22, 2018
Accepted: December 29, 2018
Article in press: December 30, 2018
Published online: January 16, 2019
Processing time: 226 Days and 13.8 Hours

Abstract

There is no consensus when it comes to the necessity of an oeso-gastroduodenal fibroscopy (OGDF) before and after bariatric surgery. Many reports expressed the preoccupations about a gastroesophagal reflux disease (an acute risk of Barrett’s esophagus) and its consequences after a sleeve gastrectomy (SG) and the risk of leaving a premalignant lesion in an excluded stomach after a Roux-en-Y gastric bypass. The International Federation for the Surgery of Obesity and Metabolic Disorders recommends a surveillance endoscopy, routinely after a SG. After review of the literature, we set out the arguments in favor of performing a systematic preoperative and post-operative OGDF.

Keywords: Bariatric Surgery; Endoscopy; Sleeve gastrectomy; Surveillance; Oeso-gastroduodenal fibroscopy; Novo Barrett’s esophagus; Gastroesophagal reflux

Core tip: There is no consensus when it comes to the necessity of an oeso-gastroduodenal fibroscopy (OGDF) before and after bariatric surgery. After review of the literature, we set out the arguments in favor of performing a systematic preoperative and post-operative OGDF.