Unexpected Histopathological Findings After Laparoscopic Sleeve Gastrectomy
Journal Title: Istanbul Medical Journal - Year 2020, Vol 21, Issue 2
Abstract
Introduction: The prevalence of obesity is increasing all over the world. Laparoscopic sleeve gastrectomy (LSG) has become the most common bariatric surgery in the world today. Unlike other bariatric surgeries, laparoscopic sleeve gastrectomy yields a pathological examination. The aim of this study was to describe unexpected histopathological findings following LSG. Methods: In this study, the pathologies of 1364 patients who underwent LSG between March 2013 and September 2019 were analyzed retrospectively. Patients were evaluated by a multidisciplinary team in the preoperative period. Patients who met the criteria for LSG were operated. These criteria were; Body Mass index (BMI) ≥40 kg/m2 or BMI >35 kg/m2 and comorbidities or BMI between 30 and 35 kg/m2 with accompanying Type 2 diabetes Mellitus or Metabolic syndrome. Two hundred four of the patients underwent gastroscopy preoperatively. Results: One thousand three hundred sixty four patients underwent LSG. The mean age was 40.93±10.86 years; 974 patients (71.48%) were female. The mean BMI was 42.23±7.28. The most common findings in the pathologies were normal gastric specimen (50%), gastritis (30%) and changes due to proton pump inhibitor use (23%) respectively. Conclusion: Gastroscopy should be added to the preoperative preparation process in cases where there is no gastric specimen after the operation. Preoperative gastroscopy is not a necessity for laparoscopic sleeve gastrectomy. It can be performed in selected cases.
Authors and Affiliations
Burçin Batman, Hasan Altun
Keywords
Related Articles
- EP ID EP685065
- DOI 10.4274/imj.galenos.2020.51437
- Views 132
- Downloads 0
Difficult Tracheotomy in Advanced Anaplastic Thyroid Carcinoma
Anaplastic thyroid carcinoma (ATC) is a rare and rapidly progressive malignancy of the thyroid gland with a poor prognosis. The cause of death in these patients is mostly due to invasion of the airway with mass and metas...
The Effect of Body Mass Index on Blood Pressure and Heart Rate Response During Treadmill Exercise Test in Non-diabetic Adults
Introduction: Exaggerated blood pressure response to exercise is an independent risk of future hypertension (HT), and impaired heart rate (HR) response is a predictor of cardiovascular mortality and morbidity. Obesity is...
Unexpected Histopathological Findings After Laparoscopic Sleeve Gastrectomy
Introduction: The prevalence of obesity is increasing all over the world. Laparoscopic sleeve gastrectomy (LSG) has become the most common bariatric surgery in the world today. Unlike other bariatric surgeries, laparosco...
Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region
Introduction: In this retrospective study, the indications and success, complication and mortality rates of local and regional flaps used in head and neck reconstruction were investigated. Methods: Patients operated for...
Common Findings in Endoscopic Gastric Biopsies in Southeastern Anatolia: Effects of Eating Habits and Helicobacter Pylori Infection
Introduction: Roasted and spicy food (mainly hot pepper) consumption is very common in Southeastern Anatolia. Smoked and spicy diets and Helicobacter pylori (H. pylori) infection are known risk factors for gastric cancer...