title: Detection of asymptomatic adenocarcinoma at endoscopy prior to gastric banding justifies routine endoscopy.
abstract: BACKGROUND
  Pre-operative upper gastrointestinal (GI) endoscopy prior to gastric banding surgery remains controversial. We report the finding of asymptomatic oesophageal adenocarcinomas detected at pre-operative endoscopy in our unit.
  
  
  METHODS
  Data from a prospectively maintained database concerning the period May 2003 to October 2010 were reviewed. We identified 371 patients who had undergone upper GI endoscopy prior to gastric banding. Endoscopy reports were reviewed to identify any pathology detected.
  
  
  RESULTS
  Endoscopy revealed abnormalities in 207 (56%) patients. A range of abnormalities were detected, the most significant of which were two asymptomatic oesophageal adenocarcinomas.
  
  
  CONCLUSIONS
  The detection of two early, asymptomatic oesophageal adenocarcinomas in a high risk patient group justifies our policy of routine upper GI endoscopy prior to gastric banding surgery.
authors: North Bristol NHS Trust, Bristol, UK.
authors: Lee M
authors: LM
authors: Humphreys
authors: H
authors: H
authors: Meredith
authors: J
authors: J
authors: Morgan
authors: Sally
authors: S
authors: Norton
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000453:epidemiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D001471:Barrett Esophagus / Q000175:diagnosis; D003955:Diagnostic Tests, Routine; D016145:Endoscopy, Digestive System / Q000379:methods*; D004938:Esophageal Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D015391:Gastroplasty / Q000379:methods*; D017408:Guidelines as Topic; D006551:Hernia, Hiatal / Q000175:diagnosis; D006801:Humans; D007249:Inflammation / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods*; D011446:Prospective Studies; D012189:Retrospective Studies; D013276:Stomach Ulcer / Q000175:diagnosis; D055815:Young Adult