When should endoscopy and 24h pH-test be done before bariatric surgery?

Background: The presence of gastroesophageal reflux disease (GERD) has an impact on the choice and outcomes of bariatric surgery. However, GERD diagnosis based solely on clinical evaluation has been proven to yield poor results in individuals with and without obesity. We studied the factors associated with abnormal 24h pH-test and the impact on diagnostic approach in patients with severe obesity.

Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Guilherme Mazzini, Daniel Navarini, Guilherme M Campos, Jad Khoraki, Fabio R Bar ão, Carlos A Madalosso, Richard R Gurski Source Type: research