Surveillance Endoscopy After Foregut Surgery: Is It Necessary?. Issue 1 (March 2023)

• Record Type: Journal Article
• Authors: Alwatari, Yahya; Scheese, Daniel; Gardner, Graham; Vudatha, Vignesh; Julliard, Walker; Puig Gilbert, Carlos; Shah, Rachit D.
• Is Part Of: Foregut. Volume 3:Issue 1(2023)
• Page Start: 89
• Page End: 102
• Publication Date: 2023-03
• Subjects: surveillance -- upper endoscopy -- foregut surgery; 616.3
• DOI: 10.1177/26345161231160180
• Languages: English
• ISSNs: 2634-5161

Abstract

Patients undergoing foregut surgeries can have de novo findings or worsening of underlying upper gastrointestinal pathologies including Barrett's esophagus and gastric intestinal metaplasia. These changes carry a potentially increased risk for malignancy development in the future raising the question of the utility of post-operative surveillance endoscopy after esophagectomy, bariatric and metabolic surgeries (Sleeve gastrectomy and Roux-en-Y Gastric Bypass), achalasia treatment, and anti-reflux surgery. In this narrative review, we conduct a literature exploration of available data on post-operative endoscopic surveillance findings following the procedures summarizing the prevalence of upper gastrointestinal pathologies and recommendations on the utility of postoperative endoscopy from established medical societies.