Interconnection of severe obesity, gastric intestinal metaplasia, gastric cancer, bariatric surgery and the necessity of preoperative endoscopy
Obesity is a growing challenge around the globe accounting for approximately 1.7 billion adults with reduced life expectancy of 5–20 years and these patients are at greater risk for various cancers. Bariatric surgery is one efficient an approved treatment of severe obesity for losing weight and to d...
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| Format: | Article |
| Language: | English |
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EDP Sciences
2022-01-01
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| Series: | 4 open |
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| Online Access: | https://www.4open-sciences.org/articles/fopen/full_html/2022/01/fopen220005/fopen220005.html |
| _version_ | 1811241657682624512 |
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| author | Kermansaravi Mohammad Valizadeh Rohollah Farazmand Behnood |
| author_facet | Kermansaravi Mohammad Valizadeh Rohollah Farazmand Behnood |
| author_sort | Kermansaravi Mohammad |
| collection | DOAJ |
| description | Obesity is a growing challenge around the globe accounting for approximately 1.7 billion adults with reduced life expectancy of 5–20 years and these patients are at greater risk for various cancers. Bariatric surgery is one efficient an approved treatment of severe obesity for losing weight and to decrease associated health complications. Besides correct indications and contraindications as well as the various risks of individual bariatric surgical procedures, many more variables influence decision-makings, such as patient’s family history of diseases, as well as individual patient-specific factors, patient and family socioeconomic and nutrition status, and professionalism of a bariatric surgical unit and the presence of intestinal metaplasia that is the replacement of columnar epithelial cells by intestinal architecture and morphology. Patients with severe obesity undergoing esophagogastroduodenoscopy (EGD) and biopsy prior to bariatric surgery may present with gastric IM because regular follow-up to early diagnosis of any subsequent pathological changes is necessary and reveals the importance of addressing interconnections between pre-existing conditions and outcomes. However, there is currently no unified recommendation about preoperative EGD before bariatric surgery. With this short review, we point out the necessary knowledge that undermines why the responsibility for a patient with severe obesity cannot be divided across various disciplines, and why we recommend that EGD always be performed preoperatively. |
| first_indexed | 2024-04-12T13:39:18Z |
| format | Article |
| id | doaj.art-95f8bfc87d1b4cdba7a64ea94f3a6974 |
| institution | Directory Open Access Journal |
| issn | 2557-0250 |
| language | English |
| last_indexed | 2024-04-12T13:39:18Z |
| publishDate | 2022-01-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | 4 open |
| spelling | doaj.art-95f8bfc87d1b4cdba7a64ea94f3a69742022-12-22T03:30:53ZengEDP Sciences4 open2557-02502022-01-0151810.1051/fopen/2022019fopen220005Interconnection of severe obesity, gastric intestinal metaplasia, gastric cancer, bariatric surgery and the necessity of preoperative endoscopyKermansaravi Mohammad0https://orcid.org/0000-0001-8978-9359Valizadeh Rohollah1Farazmand Behnood2Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, School of Medicine, Iran University of Medical SciencesDepartment of Biostatistics and Epidemiology, School of Medicine, Urmia University of Medical SciencesMinimally Invasive Surgery Research Center, Iran University of Medical SciencesObesity is a growing challenge around the globe accounting for approximately 1.7 billion adults with reduced life expectancy of 5–20 years and these patients are at greater risk for various cancers. Bariatric surgery is one efficient an approved treatment of severe obesity for losing weight and to decrease associated health complications. Besides correct indications and contraindications as well as the various risks of individual bariatric surgical procedures, many more variables influence decision-makings, such as patient’s family history of diseases, as well as individual patient-specific factors, patient and family socioeconomic and nutrition status, and professionalism of a bariatric surgical unit and the presence of intestinal metaplasia that is the replacement of columnar epithelial cells by intestinal architecture and morphology. Patients with severe obesity undergoing esophagogastroduodenoscopy (EGD) and biopsy prior to bariatric surgery may present with gastric IM because regular follow-up to early diagnosis of any subsequent pathological changes is necessary and reveals the importance of addressing interconnections between pre-existing conditions and outcomes. However, there is currently no unified recommendation about preoperative EGD before bariatric surgery. With this short review, we point out the necessary knowledge that undermines why the responsibility for a patient with severe obesity cannot be divided across various disciplines, and why we recommend that EGD always be performed preoperatively.https://www.4open-sciences.org/articles/fopen/full_html/2022/01/fopen220005/fopen220005.htmlbariatric surgeryintestinal metaplasiahelicobacter pylorigastric cancerintestinal metaplasiaobesity |
| spellingShingle | Kermansaravi Mohammad Valizadeh Rohollah Farazmand Behnood Interconnection of severe obesity, gastric intestinal metaplasia, gastric cancer, bariatric surgery and the necessity of preoperative endoscopy 4 open bariatric surgery intestinal metaplasia helicobacter pylori gastric cancer intestinal metaplasia obesity |
| title | Interconnection of severe obesity, gastric intestinal metaplasia, gastric cancer, bariatric surgery and the necessity of preoperative endoscopy |
| title_full | Interconnection of severe obesity, gastric intestinal metaplasia, gastric cancer, bariatric surgery and the necessity of preoperative endoscopy |
| title_fullStr | Interconnection of severe obesity, gastric intestinal metaplasia, gastric cancer, bariatric surgery and the necessity of preoperative endoscopy |
| title_full_unstemmed | Interconnection of severe obesity, gastric intestinal metaplasia, gastric cancer, bariatric surgery and the necessity of preoperative endoscopy |
| title_short | Interconnection of severe obesity, gastric intestinal metaplasia, gastric cancer, bariatric surgery and the necessity of preoperative endoscopy |
| title_sort | interconnection of severe obesity gastric intestinal metaplasia gastric cancer bariatric surgery and the necessity of preoperative endoscopy |
| topic | bariatric surgery intestinal metaplasia helicobacter pylori gastric cancer intestinal metaplasia obesity |
| url | https://www.4open-sciences.org/articles/fopen/full_html/2022/01/fopen220005/fopen220005.html |
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