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The importance of upper gastrointestinal endoscopy in morbidly obese patients

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dc.contributor.authorBAYSAL, Birol
dc.contributor.authorKAYAR, Yusuf
dc.contributor.authorDANALIOGLU, Ahmet
dc.contributor.authorOZKAN, Tuba
dc.contributor.authorKAYAR, Nuket Bayram
dc.contributor.authorUnver, NURCAN
dc.contributor.authorBozkurt, SÜLEYMAN
dc.contributor.authorInce, ALİ TÜZÜN
dc.contributor.institutionauthorÜNVER, NURCAN
dc.contributor.institutionauthorBOZKURT, SÜLEYMAN
dc.contributor.institutionauthorİNCE, ALİ TÜZÜN
dc.date.accessioned2019-10-05T15:09:56Z
dc.date.available2019-10-05T15:09:56Z
dc.date.issued2015-05-01
dc.description.abstractBackground/Aims: Obesity is an epidemic and its prevelance and number of patients underwent bariatric surgery continue to increase worldwide. This study aimed to evaluate endoscopic findings and co-morbidities, to investigate the prevelance of Helicobacter pylori (H. pylori) infection and the relationship between body mass index (BMI) and gastroesophageal sphincter incompetency in obese patients. Materials and Methods: An upper gastrointestinal system endoscopy and mucosal sampling were performed in all patients hospitalized for bariatric surgery. Age, gender, BMI, co-morbidities and endoscopic findings were recorded. Gastroesophageal sphincter incompetency was classified according to Hill classification. The patients were divided into two groups: group I, endoscopically normal and group II, endoscopically abnormal. Results: Total 127 patients were enrolled into prospective study. Of these, 93 (%73.2) were female and the mean age was 38.9±12.5 years (range: 16-68). Abnormal endoscopic findings and H. pylori were detected in 80.4% and 44.9% of patients, respectively. In group II, patients were older, BMI higher and H. pylori more prevalent (all statistically significant). Diabetes mellitus, hypertension and dyslipidemia were the most frequent common co-morbidities. Rate of multiple co-morbidities were more common in group II. Gastroesophageal sphincter incompetency in total group was observed in a rate of 46.5% and was weakly correlated with BMI. Conclusion: Four-fifths of obese patients have at least one endoscopic abnormal finding, three fourth at least one co-morbidity and half H. pylori positivity. Upper gastrointestinal system endoscopy should be performed routinely in all patients to predict and prevent complications following bariatric surgery.en
dc.identifier10.1016/s0168-8227(98)00034-5
dc.identifier.citationBAYSAL B., KAYAR Y., DANALIOGLU A., OZKAN T., KAYAR N. B. , Unver N., Bozkurt S., Ince A. T. , -The importance of upper gastrointestinal endoscopy in morbidly obese patients-, TURKISH JOURNAL OF GASTROENTEROLOGY, cilt.26, ss.228-231, 2015
dc.identifier.doi10.5152/tjg.2015.0083
dc.identifier.pubmed26006196
dc.identifier.scopus84928809643
dc.identifier.trdizinISSN: 1300-4948 / 2148-5607
dc.identifier.trdizintrdizin
dc.identifier.urihttps://hdl.handle.net/20.500.12645/5622
dc.identifier.wosWOS:000355104900007
dc.language.isoen
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.titleThe importance of upper gastrointestinal endoscopy in morbidly obese patients
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameDiabetes Research and Clinical Practice
local.avesis.id8a8d6e8a-39c7-488f-9854-e84734fc6677
local.avesis.response5492
local.publication.goal03 - Sağlık ve Kaliteli Yaşam
local.publication.isinternational1
relation.isAuthorOfPublication884711f3-71a4-47dd-88e7-486287ed148d
relation.isAuthorOfPublication37884d0a-1996-406a-8ac4-54476a399574
relation.isAuthorOfPublication6daa6ab7-ee45-4f50-9e71-e831046b6462
relation.isAuthorOfPublication.latestForDiscovery6daa6ab7-ee45-4f50-9e71-e831046b6462
relation.isGoalOfPublication9c198c48-b603-4e2f-8366-04edcfc1224c
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