What are the endoscopic surveillance recommendations for postgastrectomy surgery patients?
All postgastrectomy patients with a history of peptic ulcer disease should have an index endoscopy to assess for H. pylori , chronic gastritis, and intestinal metaplasia. Routine endoscopic surveillance is not recommended for these patients but may be considered after an interval of 15 to 20 years. During the endoscopic examination, multiple biopsy samples should be taken from the anastomosis and gastric remnant. In general, however, there should be a low threshold for endoscopy in postgastrectomy patients with upper GI symptoms.