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首页> 外文期刊>Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery >The utility of routine esophagogastroduodenoscopy before laparoscopic Roux-en-Y gastric bypass
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The utility of routine esophagogastroduodenoscopy before laparoscopic Roux-en-Y gastric bypass

机译：腹腔镜roux-en-y胃旁路常规食管胃常压术的效用

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Abstract Background The routine use of esophagogastroduodenoscopy (EGD) before laparoscopic Roux-en-y gastric bypass (LRYGB) is debatable. Various studies have reported high diagnostic yield of routine EGD before LRYGB to detect pathologies that could alter surgical management. However, other studies have found that preoperative EGD did not identify significant pathologies that changed clinical management; therefore, it is not indicated in asymptomatic patients. Objectives We aimed to study the utility of routine EGD in patients before LRYGB. Setting Academic teaching hospital, (Royal Alexandra Hospital, Canada). Methods A retrospective review of patients undergoing LRYGB with 1 surgeon at our hospital from May 2014 to March 2016 was completed. EGD findings were compared with surgical gastrojejunal specimen pathology and postoperative complications. Results There were 116 patients who underwent EGD before LRYGB with 113 reported EGDs, of which 46.0% were normal, 40.7% had findings that did not result in a change of management, and 13.3% had findings resulting in a change of management. In the gastrojejunal specimen, 16 patients (14.2%) were found to have chronic gastritis. The relative risk of patients having gastrojejunal gastritis was 5.1 ( P P Helicobacter pylori infection on EGD. After surgery, 18 patients (15.9%) had complications. Preoperative EGD findings were not associated with postoperative complications. Conclusion Based on the findings from this study, we recommend using less invasive screening in the routine workup of patients awaiting LRYGB and reserving EGD for symptomatic patients. ]]>
机译：摘要背景腹腔镜Roux-Zh-Y胃旁路（LryGB）前的食管古古古代透视（EGD）的常规用途是难题的。在LryGB之前，各种研究报告了常规EGD的高诊断产率，以检测可以改变手术管理的病理学。然而，其他研究发现，术前EGD未识别改变临床管理的重要病症;因此，无症状患者未指出。目的我们旨在研究LryGB前患者常规EGD的效用。设定学术教学医院（加拿大皇家Alexandra医院）。方法完成对从2014年5月至2016年3月到2016年5月，我们医院接受过1家外科医生的患者的回顾性审查。将EGD调查结果与外科胃肠肠试样病理和术后并发症进行比较。结果116例患者在113例报告的EGDS之前接受了EGD，其中46.0％正常，40.7％有结果没有导致管理的变化，13.3％有结果导致管理变化。在Gastrojejunal标本中，发现16名患者（14.2％）患有慢性胃炎。胃肠胃炎的患者的相对风险为5.1（PP幽门螺杆菌感染EGD。手术后，18名患者（15.9％）具有并发症。术前EGD发现与术后并发症无关。结论基于这项研究的结果，我们建议在等待LryGB的患者的常规次疗法中使用较少的侵入性筛选，并为症状患者保留EGD。]]>

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