Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients
<h2>Background</h2> <p>This systematic review and meta-analysis searched, retrieved and synthesized the evidence as to whether preoperative esophagogastroduodenoscopy (p-EGD) should be routine before bariatric surgery (BS).</p> <h2>Methods</h2> <p>Databases...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2022
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| الموضوعات: | |
| الوسوم: |
إضافة وسم
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| _version_ | 1864513567440502784 |
|---|---|
| author | Walid El Ansari (93732) |
| author2 | Ayman El-Menyar (440103) Brijesh Sathian (479264) Hassan Al-Thani (440106) Mohammed Al-Kuwari (14151837) Abdulla Al-Ansari (14150583) |
| author2_role | author author author author author |
| author_facet | Walid El Ansari (93732) Ayman El-Menyar (440103) Brijesh Sathian (479264) Hassan Al-Thani (440106) Mohammed Al-Kuwari (14151837) Abdulla Al-Ansari (14150583) |
| author_role | author |
| dc.creator.none.fl_str_mv | Walid El Ansari (93732) Ayman El-Menyar (440103) Brijesh Sathian (479264) Hassan Al-Thani (440106) Mohammed Al-Kuwari (14151837) Abdulla Al-Ansari (14150583) |
| dc.date.none.fl_str_mv | 2022-11-22T21:14:51Z |
| dc.identifier.none.fl_str_mv | 10.1007/s11695-020-04672-4 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Is_Routine_Preoperative_Esophagogastroduodenoscopy_Prior_to_Bariatric_Surgery_Mandatory_Systematic_Review_and_Meta-analysis_of_10_685_Patients/21597606 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Medical biochemistry and metabolomics Nutrition and dietetics Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Surgery |
| dc.title.none.fl_str_mv | Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h2>Background</h2> <p>This systematic review and meta-analysis searched, retrieved and synthesized the evidence as to whether preoperative esophagogastroduodenoscopy (p-EGD) should be routine before bariatric surgery (BS).</p> <h2>Methods</h2> <p>Databases searched for retrospective, prospective, and randomized (RCT) or quasi-RCT studies (01 January 2000–30 April 2019) of outcomes of routine p-EGD before BS. STROBE checklist assessed the quality of the studies. P-EGD findings were categorized: Group 0 (no abnormal findings); Group 1 (abnormal findings that do not necessitate changing the surgical approach or postponing surgery); Group 2 (abnormal findings that change the surgical approach or postpone surgery); and Group 3 (findings that signify absolute contraindications to surgery). We assessed data heterogeneity and publication bias. Random effect model was used.</p> <h2>Results</h2> <p>Twenty-five eligible studies were included (10,685 patients). Studies were heterogeneous, and there was publication bias. Group 0 comprised 5424 patients (56%, 95% CI: 45–67%); Group 1, 2064 patients (26%, 95% CI: 23–50%); Group 2, 1351 patients (16%, 95% CI: 11–21%); and Group 3 included 31 patients (0.4%, 95% CI: 0–1%).</p> <h2>Conclusion</h2> <p>For 82% of patients, routine p-EGD did not change surgical plan/ postpone surgery. For 16% of patients, p-EGD findings necessitated changing the surgical approach/ postponing surgery, but the proportion of postponements due to medical treatment of H Pylori as opposed to “necessary” substantial change in surgical approach is unclear. For 0.4% patients, p-EGD findings signified absolute contraindication to surgery. These findings invite a revisit to whether p-EGD should be routine before BS, and whether it is judicious to expose many obese patients to an invasive procedure that has potential risk and insufficient evidence of effectiveness. Further justification is required.</p><h2>Other Information</h2> <p> Published in: Obesity Surgery<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11695-020-04672-4" target="_blank">http://dx.doi.org/10.1007/s11695-020-04672-4</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_81be10f1a14da2b16d90e2c318caf200 |
| identifier_str_mv | 10.1007/s11695-020-04672-4 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/21597606 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 PatientsWalid El Ansari (93732)Ayman El-Menyar (440103)Brijesh Sathian (479264)Hassan Al-Thani (440106)Mohammed Al-Kuwari (14151837)Abdulla Al-Ansari (14150583)Medical biochemistry and metabolomicsNutrition and dieteticsNutrition and DieteticsEndocrinology, Diabetes and MetabolismSurgery<h2>Background</h2> <p>This systematic review and meta-analysis searched, retrieved and synthesized the evidence as to whether preoperative esophagogastroduodenoscopy (p-EGD) should be routine before bariatric surgery (BS).</p> <h2>Methods</h2> <p>Databases searched for retrospective, prospective, and randomized (RCT) or quasi-RCT studies (01 January 2000–30 April 2019) of outcomes of routine p-EGD before BS. STROBE checklist assessed the quality of the studies. P-EGD findings were categorized: Group 0 (no abnormal findings); Group 1 (abnormal findings that do not necessitate changing the surgical approach or postponing surgery); Group 2 (abnormal findings that change the surgical approach or postpone surgery); and Group 3 (findings that signify absolute contraindications to surgery). We assessed data heterogeneity and publication bias. Random effect model was used.</p> <h2>Results</h2> <p>Twenty-five eligible studies were included (10,685 patients). Studies were heterogeneous, and there was publication bias. Group 0 comprised 5424 patients (56%, 95% CI: 45–67%); Group 1, 2064 patients (26%, 95% CI: 23–50%); Group 2, 1351 patients (16%, 95% CI: 11–21%); and Group 3 included 31 patients (0.4%, 95% CI: 0–1%).</p> <h2>Conclusion</h2> <p>For 82% of patients, routine p-EGD did not change surgical plan/ postpone surgery. For 16% of patients, p-EGD findings necessitated changing the surgical approach/ postponing surgery, but the proportion of postponements due to medical treatment of H Pylori as opposed to “necessary” substantial change in surgical approach is unclear. For 0.4% patients, p-EGD findings signified absolute contraindication to surgery. These findings invite a revisit to whether p-EGD should be routine before BS, and whether it is judicious to expose many obese patients to an invasive procedure that has potential risk and insufficient evidence of effectiveness. Further justification is required.</p><h2>Other Information</h2> <p> Published in: Obesity Surgery<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11695-020-04672-4" target="_blank">http://dx.doi.org/10.1007/s11695-020-04672-4</a></p>2022-11-22T21:14:51ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s11695-020-04672-4https://figshare.com/articles/journal_contribution/Is_Routine_Preoperative_Esophagogastroduodenoscopy_Prior_to_Bariatric_Surgery_Mandatory_Systematic_Review_and_Meta-analysis_of_10_685_Patients/21597606CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215976062022-11-22T21:14:51Z |
| spellingShingle | Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients Walid El Ansari (93732) Medical biochemistry and metabolomics Nutrition and dietetics Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Surgery |
| status_str | publishedVersion |
| title | Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients |
| title_full | Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients |
| title_fullStr | Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients |
| title_full_unstemmed | Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients |
| title_short | Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients |
| title_sort | Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients |
| topic | Medical biochemistry and metabolomics Nutrition and dietetics Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Surgery |