Evidence map›Paper›PMID 40473913›Full record

ArticleObesity surgery2025

Preoperative Upper Endoscopy and Surgical Specimen Findings in Bariatric Surgery Patients.

Baila Elkin, Joseph El-Dahdah, Qijun Yang, Yueqi Wu, John McMichael, Michelle Kang Kim, Ricard Corcelles Codina, Carlos Roberto Simons Linares, Carol Rouphael

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Baila ElkinDepartment of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA. elkinb@ccf.org.
Joseph El-DahdahDepartment of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.
Qijun YangDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Yueqi WuDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
John McMichaelDepartment of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
Michelle Kang KimDepartment of Gastroenterology, Hepatology and Nutrition, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
Ricard Corcelles CodinaBariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
Carlos Roberto Simons LinaresDepartment of Gastroenterology, Hepatology and Nutrition, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
Carol RouphaelDepartment of Gastroenterology, Hepatology and Nutrition, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of routine esophagogastroduodenoscopy (EGD) before metabolic bariatric surgery (MBS) remains unclear. We examined which patients were more likely to undergo preoperative EGD with biopsies, assessed the prevalence of clinically significant gastric pathologies on surgical specimens that may have been missed preoperatively, and analyzed patient factors associated with those findings.

methodsPatients ≥ 18 years old with Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) between 2018 and 2022 were included. Demographic, clinical, endoscopic, and pathology (from EGD and surgical specimens) characteristics were collected. Descriptive statistics were used. Uni- and multivariable Cox regression analyses assessed factors associated with clinically significant endoscopic and pathology findings.

resultsOf 3718 patients (38.8% RYGB, 61.2% SG), 80% were female, 69.9% White, and 12.6% Hispanic. Median age at surgery was 45.7 years; median body mass index was 44.5 kg/m

conclusionsSeveral clinically relevant gastric pathologies could have been detected preoperatively via EGD with biopsies, yet about two-thirds did not undergo this evaluation. Older age and non-White, non-Black race were associated with these findings. Further research is needed to assess predictive factors of significant findings and cost-effectiveness of routine versus selective pre-operative EGD.

Indexed as

Bariatric SurgeryEndoscopy, Digestive SystemObesity, MorbidPreoperative CareAdultBiopsyFemaleGastrectomyGastric BypassHumansMaleMiddle AgedRetrospective StudiesClinically significant findingsEndoscopyMetabolic bariatric surgeryMissed lesionsObesity

Identifiers

PMID40473913
PMCPMC12270955

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.