ASMBS position statement on the rationale for performance of upper gastrointestinal endoscopy before and after metabolic and bariatric surgery.

摘要: The following position statement is issued by the American Society for Metabolic and Bariatric Surgery in response to inquiries made patients, physicians, society members, hospitals, health insurance payors, media, others regarding need possible strategies screening endoscopic examination before metabolic bariatric surgery (MBS), as well rationale, indications, postoperative surveillance mucosal abnormalities, including gastroesophageal reflux disease associated esophageal injuries (erosive esophagitis Barrett's esophagus) that may develop long term after MBS, specifically patients undergoing sleeve gastrectomy or Roux-en-Y gastric bypass. general principles described here also apply procedures such biliopancreatic diversion (BPD) BPD with duodenal switch (DS); however, paucity of procedure-specific literature DS limits value this those procedures. In addition, children obesity MBS have unique considerations are not addressed statement. This recommendation based on current clinical knowledge, expert opinion, published peer-reviewed scientific evidence available at time. intended be should construed stating establishing a local, regional, national standard care. will revised future additional becomes available.