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Published in: Obesity Surgery 4/2012

01-04-2012 | Clinical Research

Detection of Asymptomatic Adenocarcinoma at Endoscopy Prior to Gastric Banding Justifies Routine Endoscopy

Authors: Lee M. Humphreys, H. Meredith, J. Morgan, Sally Norton

Published in: Obesity Surgery | Issue 4/2012

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Abstract

Background

Pre-operative upper gastrointestinal (GI) endoscopy prior to gastric banding surgery remains controversial. We report the finding of asymptomatic oesophageal adenocarcinomas detected at pre-operative endoscopy in our unit.

Methods

Data from a prospectively maintained database concerning the period May 2003 to October 2010 were reviewed. We identified 371 patients who had undergone upper GI endoscopy prior to gastric banding. Endoscopy reports were reviewed to identify any pathology detected.

Results

Endoscopy revealed abnormalities in 207 (56%) patients. A range of abnormalities were detected, the most significant of which were two asymptomatic oesophageal adenocarcinomas.

Conclusions

The detection of two early, asymptomatic oesophageal adenocarcinomas in a high risk patient group justifies our policy of routine upper GI endoscopy prior to gastric banding surgery.
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Metadata
Title
Detection of Asymptomatic Adenocarcinoma at Endoscopy Prior to Gastric Banding Justifies Routine Endoscopy
Authors
Lee M. Humphreys
H. Meredith
J. Morgan
Sally Norton
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 4/2012
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-011-0506-y

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