Analysis of standardized gastroscopy before and after bariatric surgery

doi:10.3877/cma.j.issn.2095-7157.2022.02.016

Abstract

Abstract:

Objective

To analyze the characteristics and long-term follow-up of gastrointestinal tract before and after bariatric surgery from the perspective of digestive endoscopy.

Methods

A total of 132 patients with weight loss in Fuxing Hospital affiliated to Capital Medical University was selected from June 1st 2020 to November 30th 2021.7 620 gastroscopic images before and after surgery were compared.

Results

Gastroscopic examination before weight reduction revealed that sliding hiatal hernia was found in 39.4% of patients.20.4% of patients had reflux esophagitis. About14.4% patients had hyperemia and edema of gastric mucosa, granuloid changes of gastric antrum mucosa and shortening of duodenal and intestinal villi before weight loss.The incidence of ulcer disease after weight reduction surgery was about 1.9%.No stomatitis was found.

Conclusion

There was no polyp or tumor tendency in endoscopic follow-up one year after weight loss surgery.Multidisciplinary collaboration in the treatment and prevention and control of obesity remains a long way to go.

Key words: Bariatric surgery, Sleeve stomach, Gastric bypass, Gastroscopy

Ying Wang, Quan Li, Peilin Li, Lixin Xue, Xuan Wu, Baoyin Liu. Analysis of standardized gastroscopy before and after bariatric surgery[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2022, 09(02): 91-94.

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https://zhwcnjdzzz.cma-cmc.com.cn/EN/Y2022/V09/I02/91

Figures/Tables 5

References 11

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临床参数		合计(例)	减重手术		P值
临床参数		合计(例)	LSG(n＝34)	LRGB(n＝20)	P值
性别
	男	19	9	10	0.146
	女	35	25	10
术前BMI(kg/m²)
	≥35	32	18	14	0.345
	<35	22	16	6
术后1年BMI(kg/m²)
	≥24	9	7	2	0.529
	<24	45	27	18
术前反流
	有	11	6	5	0.766
	无	43	28	15
术前食管裂孔疝
	有	18	10	8	0.618
	无	36	24	12
术后反流
	有	7	5	2	0.938
	无	47	29	18
术后溃疡
	有	2	1	1	0.622
	无	52	33	19

临床参数		合计(例)	减重手术		P值
临床参数		合计(例)	LSG(n＝34)	LRGB(n＝20)	P值
性别
	男	19	9	10	0.146
	女	35	25	10
术前BMI(kg/m²)
	≥35	32	18	14	0.345
	<35	22	16	6
术后1年BMI(kg/m²)
	≥24	9	7	2	0.529
	<24	45	27	18
术前反流
	有	11	6	5	0.766
	无	43	28	15
术前食管裂孔疝
	有	18	10	8	0.618
	无	36	24	12
术后反流
	有	7	5	2	0.938
	无	47	29	18
术后溃疡
	有	2	1	1	0.622
	无	52	33	19

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