PMID- 36315283
OWN - NLM
STAT- MEDLINE
DCOM- 20230707
LR  - 20230718
IS  - 1432-2218 (Electronic)
IS  - 0930-2794 (Linking)
VI  - 37
IP  - 7
DP  - 2023 Jul
TI  - Does endoscopy at the time of revisional bariatric surgery decrease complication 
      rates? an analysis of the NSQIP database.
PG  - 5570-5575
LID - 10.1007/s00464-022-09648-2 [doi]
AB  - BACKGROUND: Endoscopy is performed routinely during bariatric surgery. It is 
      often used for provocative testing and intraluminal inspection during Roux-en-Y 
      gastric bypass (RNYGB) and sleeve gastrectomy (SG). Recent publications would 
      indicate about one-quarter of bariatric cases are performed with concurrent 
      endoscopy, resulting in a slight increase in time but no increase in 
      complications within 30 days compared with cases where no endoscopy is performed. 
      Do these results persist for endoscopy during revisional bariatric surgery (RBS)? 
      METHODS: An analysis of the American College of Surgeons National Surgical 
      Quality Initiative Program (NSQIP) was conducted for the years 2005-2017. 
      Seventeen postoperative outcomes were analyzed in this database. A 1:1 propensity 
      score matching analysis was completed for 13 patient comorbidities and 
      demographics. A McNemar's test for paired categorical variables and a paired 
      t-test for continuous variables were completed, with a significant P value of 
      0.05. The results were reported as the frequency and percentage for categorical 
      variables and the mean (+/- standard deviation) for continuous variables. RESULTS: 
      A total of 7249 RBS cases were identified. After propensity score matching for 
      patient comorbidities and demographics 2329 cases remained. 
      Esophagogastroduodenoscopy (EGD) was performed in 375 (16%) of these patients. 
      There were no differences in complication rates between the two groups. 
      CONCLUSIONS: Similar to non-revisional bariatric surgery, there is no difference 
      in 30-day postoperative complications when endoscopy is performed in RBS. 
      Endoscopy is performed in about one-sixth of RBS cases.
CI  - (c) 2022. This is a U.S. Government work and not under copyright protection in the 
      US; foreign copyright protection may apply.
FAU - Hornock, Sasha
AU  - Hornock S
AUID- ORCID: 0000-0002-8836-3628
AD  - Department of Surgery, William Beaumont Army Medical Center, 18511 Highlander 
      Medics St., El Paso, TX, 79918, USA. Sasha.l.lightfoot2.mil@mail.mil.
FAU - Grasso, Samuel
AU  - Grasso S
AD  - Department of Surgery, William Beaumont Army Medical Center, 18511 Highlander 
      Medics St., El Paso, TX, 79918, USA.
FAU - Hamdan, Marah
AU  - Hamdan M
AD  - Department of Surgery, Lehigh Valley Health Network, Allentown, PA, USA.
FAU - Bader, Julia
AU  - Bader J
AD  - Department of Surgery, William Beaumont Army Medical Center, 18511 Highlander 
      Medics St., El Paso, TX, 79918, USA.
FAU - Ahnfeldt, Eric
AU  - Ahnfeldt E
AD  - Department of Surgery, Landstuhl Regional Medical Center, Landstuhl, Germany.
FAU - Clapp, Benjamin
AU  - Clapp B
AD  - Department of Surgery, Texas Tech Health Sciences Center, El Paso, TX, USA.
LA  - eng
PT  - Journal Article
DEP - 20221031
PL  - Germany
TA  - Surg Endosc
JT  - Surgical endoscopy
JID - 8806653
SB  - IM
MH  - Humans
MH  - Reoperation/methods
MH  - *Bariatric Surgery/adverse effects/methods
MH  - *Gastric Bypass/adverse effects/methods
MH  - Postoperative Complications/epidemiology/etiology/surgery
MH  - Endoscopy, Gastrointestinal/adverse effects
MH  - *Obesity, Morbid/surgery/complications
MH  - Retrospective Studies
MH  - Gastrectomy/methods
MH  - Treatment Outcome
MH  - *Laparoscopy/adverse effects
OTO - NOTNLM
OT  - Bariatric
OT  - Endoscopy
OT  - Leak
OT  - Revisional
OT  - Surgery
EDAT- 2022/11/01 06:00
MHDA- 2023/07/07 06:42
CRDT- 2022/10/31 12:14
PHST- 2022/04/24 00:00 [received]
PHST- 2022/09/13 00:00 [accepted]
PHST- 2023/07/07 06:42 [medline]
PHST- 2022/11/01 06:00 [pubmed]
PHST- 2022/10/31 12:14 [entrez]
AID - 10.1007/s00464-022-09648-2 [pii]
AID - 10.1007/s00464-022-09648-2 [doi]
PST - ppublish
SO  - Surg Endosc. 2023 Jul;37(7):5570-5575. doi: 10.1007/s00464-022-09648-2. Epub 2022 
      Oct 31.