Lack of benefit of routine abdominal CT-scan before bariatric surgery - 10/10/21
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Highlights |
• | Few patients (3.1%) had severe anomaly on abdominal CT-scan before bariatric surgery. |
• | No risk factor was found to predict appearance of severe anomaly on abdominal CT-scan. |
• | Abdominal CT-scan could not be advocated to seek cancer before bariatric surgery. |
• | Thoracic CT-scan may be interesting in patients with history of smoking. |
Summary |
Background |
Scientific societies recommend to seek cancer prior to bariatric surgery. In our tertiary referral center, we aimed to study performance of abdominal CT-scan before bariatric surgery.
Patients and methods |
We retrospectively included all patients who underwent bariatric surgery and a pre-operative abdominal CT-scan in our academic center, between January 2015 and December 2018.
Results |
We included 521 patients (417 women and 104 men) with a mean age of 48.0±11.5 years. Mean preoperative body mass index was 44.9±7.0kg/m2. Among the 392 patients with abnormal CT-scan, mean number of anomalies per patient was of 2.2±1.2. Vast majority of anomalies (91.8%) were non-significant. Only 5 (1%) patients needed treatment prior to bariatric surgery. No factor predictive of abnormal CT-scan was found.
Conclusion |
Only few patients had severe anomaly on CT-scan before bariatric surgery. Abdominal CT-scan could not be advocated to seek cancer before bariatric surgery.
Le texte complet de cet article est disponible en PDF.Keywords : Abdominal CT-scan, Bariatric surgery, Cancer, Hiatal hernia
Plan
Vol 158 - N° 5
P. 390-394 - octobre 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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