LONG-TERM POSTOPERATIVE ENDOSCOPIC FINDINGS AFTER GASTRIC BYPASS PROCEDURE: a co-occurrence analysis

A multitude of endoscopic findings post-gastric bypass procedures have been previously reported in the literature, but to our knowledge, no present rules exist that could guide clinicians regarding which findings should be actively sought, once an initial finding is identified. To identify co-occurr...

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Bibliographic Details
Published in:Arquivos de gastroenterologia 2016-10, Vol.53 (4), p.273-277
Main Authors: Quadros, Luiz Gustavo de, Kaiser, Junior, Roberto Luiz, Galvão, Neto, Manoel Dos Passos, Campos, Josemberg Marins, Santana, Marcelo Falcão de, Ferraz, Alvaro Antonio Bandeira
Format: Article
Language:English
Subjects:
Adult
Cirurgia bariátrica. Derivação gástrica
Constriction, Pathologic - surgery
Cross-Sectional Studies
efeitos adversos. Endoscopia gastrointestinal. Resultado do tratamento
Endoscopy, Gastrointestinal
Female
Gastric Bypass - adverse effects
GASTROENTEROLOGY & HEPATOLOGY
Humans
Male
Middle Aged
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Period
Treatment Outcome
Young Adult
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Summary:A multitude of endoscopic findings post-gastric bypass procedures have been previously reported in the literature, but to our knowledge, no present rules exist that could guide clinicians regarding which findings should be actively sought, once an initial finding is identified. To identify co-occurrence patterns among endoscopic findings of patients having undergone past gastric bypass procedure. Our registry involves all consecutive patients undergoing an upper endoscopic evaluation after a gastric bypass procedure. We collected information on the presence of the endoscopic findings in post-gastric bypass surgery patients. Co-occurrence evaluation involved the use of intersection, cluster and item factor analyses. A total of 396 endoscopic evaluations were made on 339 patients. Most patients were female (81.1%), with an average BMI of 31.88±6.7 at the time of endoscopy. Esophagitis was the most common isolated finding (35.3%). Endoscopic findings clustered around two groups, (1) the ring-related complications involving ring displacement, ring slips and gastric pouch, while (2) stenosis-related findings involved dilation and stenosis (P
ISSN:0004-2803
1678-4219
1678-4219
0004-2803
DOI:10.1590/S0004-28032016000400012