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132. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

28.04. - 01.05.2015, München

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The role of routine esophagogastroduodenoscopy prior to laparoscopic cholecystectomy

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  • Ruzica-Rosalia Luketina - Krankenhaus der Barmherzigen Schwestern Linz, Allgemein-und Viszeralchirurgie, Linz, Österreich
  • Lisa Manzenreiter - Krankenhaus der Barmherzigen Schwestern Linz, Allgemein-und Viszeralchirurgie, Linz, Österreich
  • Elisabeth Haug - Krankenhaus der Barmherzigen Schwestern Linz, Allgemein-und Viszeralchirurgie, Linz, Österreich
  • Hrvoje Luketina - Charité Universitätsmedizin Berlin, Charité Universitätsmedizin Berlin, Berlin, Deutschland
  • Klaus Emmanuel - Krankenhaus der Barmherzigen Schwestern Linz, Allgemein-und Viszeralchirurgie, Linz, Österreich

Deutsche Gesellschaft für Chirurgie. 132. Kongress der Deutschen Gesellschaft für Chirurgie. München, 28.04.-01.05.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15dgch479

doi: 10.3205/15dgch479, urn:nbn:de:0183-15dgch4795

Published: April 24, 2015

© 2015 Luketina et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Introduction: Cholelithiasis can present with a complex combination of clinical symptoms, which may resemble the manifestation of other gastrointestinal diseases. The evidence for routine esophagogastroduodenoscopy (EGDS) before laparoscopic cholecystectomy is controversial. In our institution all the patients are offered EGDS prior to cholecystectomy.

Material and methods: A retrospective review on the significance of preoperative EGDS in 3196 patients who underwent laparoscopic cholecystectomy between January 2003 and December 2013 was conducted.

Results: EGDS was preformed in 3196 patients before surgery. Pathological findings were seen in 1585 (49.59%), 23,5% of the patients had gastritis, 0,6 % gastric ulcera, 0,8 % acute duodenal ulcera, 1,3 % Barrett’s esophagus, 5,5 % esophagitis, 0,03 % with gastric cancer, 0,2% portal hypertensive gastropathy and 12% hiatal hernias. Histological testing for Helicobacter pylori was done in 752 (23,5%) patients, a positive test was detected in 208 (27,7%).

Conclusion: EGSD is not generally required prior to cholecystectomy in patients with typical gallstone symptoms. Because of the high incidence of simultaneous upper gastrointestinal diseases, routine preoperative EGSD is indicated in patients with nonspecific upper abdominal pain and history of peptic ulcer disease.