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World J Gastrointest Endosc. Jan 16, 2022; 14(1): 29-34
Published online Jan 16, 2022. doi: 10.4253/wjge.v14.i1.29
Is gastroscopy necessary before bariatric surgery?
Burhan Hakan Kanat, Serhat Doğan
Burhan Hakan Kanat, Serhat Doğan, Department of General Surgery, Malatya Turgut Özal University, School of Medicine, Malatya 44100, Turkey
Author contributions: Kanat BH and Doğan S contributed equally to this work; all authors have read and approved the final manuscript.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Burhan Hakan Kanat, MD, Associate Professor, Chief Doctor, Department of General Surgery, Malatya Turgut Özal University, School of Medicine, Alacakapı Mahallesi Kırkgöz Caddesi No. 70, Malatya 44100, Turkey. burhankanat@hotmail.com
Received: February 18, 2021
Peer-review started: February 18, 2021
First decision: May 5, 2021
Revised: May 26, 2021
Accepted: December 22, 2021
Article in press: December 22, 2021
Published online: January 16, 2022
Processing time: 328 Days and 11.9 Hours
Core Tip

Core tip: The European Association of Endoscopic Surgery guidelines recommend esophagogastroduodenoscopy (EGD) for all bariatric procedures. They strongly recommend it for Roux-en-Y gastric bypass (RYGB). The British Obesity & Metabolic Surgery Society recommends routine perioperative EGD for sleeve gastrectomy (SG), even if patients are asymptomatic, but not for RYGB. It is recommended for symptomatic patients scheduled for RYGB. According to the International Sleeve Gastrectomy Expert Panel Consensus Statement, preoperative EGD is definitely recommended for SG, but its routine use for RYGB is controversial. The American Gastrointestinal Endoscopy Association recommends that endoscopy be performed only on symptomatic patients scheduled for bariatric surgery.