Is preoperative gastroscopy necessary before sleeve gastrectomy and Roux-en-Y gastric bypass?

Consensus on the necessity of esophagogastroduodenoscopy (EGD) before bariatric surgery is lacking. Recommendations and practices vary by country and unit. Several reports have expressed concerns on gastroesophageal reflux disease (GERD) and its consequences after sleeve gastrectomy (SG) and the risk of leaving a premalignant lesion in the excluded stomach after Roux-en-Y gastric bypass (RYGB).

http://www.soard.org/article/S1550-7289(18)30036-4/fulltext?rss=yes

Source: Surgery for Obesity and Related Diseases - February 5, 2018 Category: Surgery Authors: Tuure Saarinen, Ulla Kettunen, Kirsi H. Pietil äinen, Anne Juuti Tags: Original article Source Type: research