John A. (Jerry) Evans, MD, MMSc from Wake Forest University Medical Center describes this latest document from the ASGE Standards of Practice committee titled “The role of endoscopy in the bariatric surgery patient.”

This guideline updates the current recommendations on the endoscopic management of issues that come up in patients who have had or will have bariatric surgery.

The previous document had aged a bit, and there have been tremendous strides in the endoscopic management of adverse events from bariatric surgery. Moreover, surgical trends change over time. A good example would be sleeve gastrectomies. These are being performed more often than when the first iteration of this document was published in 2008, so it’s important to keep clinicians up to date on the current clinical situations that will be commonly encountered in practice.

This guideline was reviewed by the editorial boards of the ASGE as well as The American Society of Metabolic and Bariatric Surgery and the Society of American Gastrointestinal and Endoscopic Surgeons. This document represents the recommendation of medical as well as surgical endoscopists, and therefore encompasses a comprehensive endoscopic evaluation of the pre and post bariatric surgery patient.

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