Skip to main content

The Role of Endoscopy in Bariatric Surgery

  • Chapter
  • First Online:
The ASMBS Textbook of Bariatric Surgery

Abstract

In current bariatric surgical practices, the potential assistive role of upper endoscopy occurs on a daily basis. Although colonic pathology exists in bariatric patients as it does in the general population, this chapter focuses on the role of endoscopy involving bariatric surgical anatomy of the foregut. The role of endoscopy in bariatric surgery begins well before a patient undergoes an index surgical procedure. Four roles of upper endoscopy in the care of the bariatric surgical patient will be discussed: (1) preoperative, (2) intraoperative, (3), postoperative, and (4) forensic endoscopy. Emerging roles for flexible endoscopy in the development of new bariatric surgical approaches will also be addressed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. NIH Consensus Statement. Gastrointestinal surgery for severe obesity. 1991;9(1):1–20.

    Google Scholar 

  2. Schirmer BD. The role of endoscopy in bariatric surgery. In: Nguyen NT, Scott-Conner CE, editors. The SAGES manual, Advanced laparoscopy and endoscopy, vol. 2. 3rd ed. New York: Springer; 2012. p. 73–96.

    Chapter  Google Scholar 

  3. Huang C. The role of the endoscopist in a multidisciplinary obesity center. Gastrointest Endosc. 2009;70(4):763–7.

    Article  PubMed  Google Scholar 

  4. Rasmussen JJ, Fuller W, Ali MR. Marginal ulceration after laparoscopic gastric bypass: an analysis of predisposing factors in 260 patients. Surg Endosc. 2007;21(7):1090–4.

    Article  PubMed  CAS  Google Scholar 

  5. Azagury D, Dumonceau JM, Morel P, Chassot G, Huber O. Preoperative work-up in asymptomatic patients undergoing Roux-en-Y gastric bypass: is endoscopy mandatory? Obes Surg. 2006;16(10):1304–11.

    Article  PubMed  CAS  Google Scholar 

  6. Schirmer B, Erenoglu C, Miller A. Flexible endoscopy in the management of patients undergoing Roux-en-Y gastric bypass. Obes Surg. 2002;12(5):634–8.

    Article  PubMed  Google Scholar 

  7. Ramanathan R, Ikramuddin S, Gourash W, Schauer PR. The value of intraoperative endoscopy during laparoscopic roux-en-Y gastric bypass. Surg Endosc. 2000;14:212.

    Google Scholar 

  8. Haddad A, Tapazoglou N, Singh K, Averbach A. Role of intraoperative esophagogastroenteroscopy in minimizing gastrojejunostomy-related morbidity: experience with 2,311 laparoscopic gastric bypasses with linear stapler anastomosis. Obes Surg. 2012;22:1928–33.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Jamil LH, Krause KR, Chengelis DL, Jury RP, Jackson CM, Cannon ME, et al. Endoscopic management of early upper gastrointestinal hemorrhage following laparoscopic Roux-en-Y gastric bypass. Am J Gastroenterol. 2008;103(1):86–91.

    Article  PubMed  Google Scholar 

  10. Frezza EE. Laparoscopic sleeve gastrectomy with endoscopic guidance in morbid obesity. Surg Obes Relat Dis. 2008;4(5): 575–9.

    Article  PubMed  Google Scholar 

  11. Sharma VK, Nguyen CC, Crowell MD, et al. A national study of cardiopulmonary unplanned events after GI endoscopy. Gastrointest Endosc. 2007;66:27–34.

    Article  PubMed  Google Scholar 

  12. Mattar SG, Qureshi F, Taylor D, Schauer PR. Treatment of refractory gastroesophageal reflux disease with radiofrequency energy (Stretta) in patients after Roux-en-Y gastric bypass. Surg Endosc. 2006;20(6):850–4. Epub 2006 May 12.

    Article  PubMed  CAS  Google Scholar 

  13. Richardson JF, Lee JG, Smith BR, Nguyen B, Pham KP, Nguyen NT. Laparoscopic transgastric endoscopy after Roux-en-Y gastric bypass: case series and review of the literature. Am Surg. 2012;78(10):1182–6.

    PubMed  Google Scholar 

  14. Gupta A, Reavis KM. Endolumenal treatments for morbid obesity. Mastery of laparoscopic and endoscopic surgery (4th ed.) Chapter 30. Lippincott Williams & Wilkins; 2014;300–311.

    Google Scholar 

  15. Buchwald H, Buchwald JN. Evolution of operative procedures for the management of morbid obesity 1950–2000. Obes Surg. 2002;12:705–17.

    Article  PubMed  Google Scholar 

  16. Abu Dayyeh BK, Jirapinyo P, Weitzner Z, Barker C, Flicker MS, Lautz DB, et al. Sclerotherapy for the treatment of weight regain after Roux-en-Y gastric bypass: outcomes, complications, and predictors of response in 575 procedures. Gastrointest Endosc. 2012;76(2):275–82.

    Article  PubMed  Google Scholar 

  17. Fernandez-Esparrach G, Lautz DB, Thompson CC. Endoscopic repair of gastrogastric fistula after Roux-en-Y gastric bypass: a less-invasive approach. Surg Obes Relat Dis. 2010;6(3):282–8. Epub 2010 Feb 20.

    Article  PubMed  Google Scholar 

  18. Mintz Y, Horgan S, Savu MK, Cullen J, Chock A, Ramamoorthy S, et al. Hybrid natural orifice translumenal surgery (NOTES) sleeve gastrectomy: a feasibility study using an animal model. Surg Endosc. 2008;22(8):1798–802.

    Article  PubMed  Google Scholar 

  19. Ramos AC, Zundel N, Neto MG, Maalouf M. Human hybrid NOTES transvaginal sleeve gastrectomy: initial experience. Surg Obes Relat Dis. 2008;4(5):660–3.

    Article  PubMed  Google Scholar 

  20. Madan AK, Tichansky DS, Khan KA. Natural orifice transluminal endoscopic gastric bypass performed in a cadaver. Obes Surg. 2008;18(9):1192–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kevin M. Reavis MD, FACS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Bradley, D.D., Reavis, K.M. (2015). The Role of Endoscopy in Bariatric Surgery. In: Nguyen, N., Blackstone, R., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1206-3_35

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1206-3_35

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1205-6

  • Online ISBN: 978-1-4939-1206-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics