Bariatric Surgery in Surgery — 42yo Man | General Surgery | SMLE Q#1617
SMLE Question #1617
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 42-year-old man (BMI 48 kg/m²) is evaluated for bariatric surgery after unsuccessful lifestyle and medication therapy. He reports frequent postprandial regurgitation, heartburn several times per week, and intermittent dysphagia to solids. Prior to selecting a bariatric procedure, the surgical team wants an initial study to assess esophageal and gastroesophageal junction anatomy, including possible hiatal hernia and structural abnormalities. What is the most appropriate initial test?
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