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Volume 357:1158-1160 September 13, 2007 Number 11
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Bariatric Surgery for Morbid Obesity

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by DeMaria, E. J.
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To the Editor: In his review of the surgical treatment of morbid obesity, DeMaria (May 24 issue)1 lists key components of the preoperative medical evaluation; these components include screening for diabetes, hypertension, coronary artery disease, sleep apnea, pulmonary hypertension, and musculoskeletal disease. However, the role of esophagogastroduodenoscopy in this evaluation should also be mentioned. Although its routine use remains controversial,2,3 there is evidence for recommending esophagogastroduodenoscopy with biopsy and assessment of samples for Helicobacter pylori in all patients planning to undergo bariatric surgery, even if they are asymptomatic.4,5,6 Several arguments provide support for this statement. First, there is a lack . . . [Full Text of this Article]



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