Transnasal Endoscopy in Obese Patients Are Candidates for Bariatric Surgery
Status:
Unknown status
Trial end date:
2019-05-01
Target enrollment:
Participant gender:
Summary
Transnasal Endoscopy in Obese Patients are Candidates for Bariatric Surgery
Introduction and Objectives: high digestive endoscopy (HDE) is an important tool in the
preoperative period of bariatric surgery. Patients with excess weight have a higher risk of
cardiorespiratory complications during this procedure, being that the transnasal endoscopy
(TNE) with an endoscope-thin is a safe alternative, comfortable and great value for money.
The TNE allows the study of the upper gastrointestinal tract without the need for sedation.
The objective of this work was to evaluate the feasibility, tolerance and safety of TNE in
obese patients are candidates for bariatric surgery. Methods: This was a prospective study
with all patients with indication for surgery of obesity undergoing endoscopic transnasal
preoperatively, between December 2016 and August 2018, at the Hospital of the Federal
University of Minas Gerais. The variables evaluated were: age, gender, suitability of the
exam, tolerance by the patient through the visual analogue scale, incidence of complications
and need for sedation. Oxygen saturation, heart rate and systolic blood pressure were
recorded. Conclusion: The transnasal endoscopy is a feasible alternative, well tolerated and
safe the conventional endoscopy in evolution the preoperative bariatric surgery. The benefits
of transnasal endoscopy in obese patients mainly consist in carrying out the procedure
without sedation, which may provide reduction of risks, costs and waive the need for a
companion. Key words: transnasal endoscopy - Obesity - endoscopy without sedation.