We conducted a retrospective chart review in a single tertiary pediatric medical center of adolescents treated during 2011-2018. Data collected from electronic medical records included patient demographics, endoscopic findings, and laboratory parameters.
A total of 80 patients (40 males) underwent evaluation. Macroscopic abnormalities were detected in 54% of the endoscopies, including gastritis, esophagitis, and duodenitis in 46%, 16%, and 13%, respectively. Forty-nine percent of the biopsies showed histological abnormalities; in 35 (44%) patients, Helicobacter pylori (H. pylori) was detected. Thirty-three patients (41%) received medical treatment and two (2.5%) required a second EGD. Metabolic comorbidities included hypertriglyceridemia (38% of the patients), low HDL (23%), and pre-diabetic (16%) or diabetic levels of HbA1C (4%). Fifty-five percent of the cohort had elevated alanine aminotransferase (ALT), suggestive of nonalcoholic fatty liver disease.
Endoscopies performed prior to bariatric surgeries suggest a higher prevalence of clinically significant findings, many of which required treatment. These findings support incorporating an EGD into the preoperative evaluation of this patient population.
Copyright © 2021 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology.