The role of the endoscopist in a multidisciplinary obesity center

The endoscopist plays an integral role in the multidisciplinary treatment of patients with obesity who are undergoing bariatric surgery, particularly in the prevention and treatment of postoperative complications. Although still controversial, routine preoperative EGD should be considered in all bariatric patients, especially those undergoing RYGB, regardless of the presence or absence of symptoms. Endoscopists need to work in close coordination with their bariatric surgery colleagues in all phases of care to maximize the yield and safety of endoscopy in this patient population.