CLINICAL MEDICINE

MEDICINE

GASTROENTEROLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
When should an endoscopic revision be performed on the patient?
A
whenever
B
from 6 hours to 24 hours post-ingestion
C
Never
D
6h to 72h post-ingestion and then 3 weeks later
E
always wait 3 weeks onwards
Explanation: 

Detailed explanation-1: -A Proven Weight-Loss Procedure Without Surgery or Scars Endoscopic gastric bypass revision is an outpatient weight loss procedure that doesn’t require open surgery, incisions or scarring.

Detailed explanation-2: -Revision surgery for this condition does not meet the definition of medical necessity. NOTE: CPT code 43847 may be used to report biliopancreatic bypass (Scopinaro procedure) OR long-limb gastric bypass (> 150 cm).

Detailed explanation-3: -How is stenosis after gastric bypass surgery treated? During an upper endoscopy, your healthcare provider will inflate a special balloon at the anastomosis. The opening will be stretched back to its original size, if possible. This is called endoscopic dilation.

Detailed explanation-4: -Wolter et al[22] recommends performing routine endoscopy before bariatric surgery to predict possible malignant lesions. Mihmanli et al[25] in their series of 157 cases, reported that one case changed the operation type as a result of preoperative endoscopic examination.

There is 1 question to complete.