HISTOPATHOLOGICAL FINDINGS AND CLINICAL OUTCOMES OF PATIENTS AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY

Authors : Muhammed Raşid AYKOTA, Sevda YILMAZ

Pages : 144-152

Doi:10.33457/ijhsrp.732733

View : 10 | Download : 6

Publication Date : 2020-08-29

Article Type : Research Paper

Abstract :Background: Laparoscopic sleeve gastrectomy insert ignore into journalissuearticles values(LSG); has become an increasingly common method for surgical treatment of morbid obesity in recent years. This study aimed to evaluate the histopathological findings of gastrectomy specimens obtained in LSG and the clinical outcomes of patients. Material and methods: Between June 2018 and December 2019, the resected gastric samples of 170 patients with LSG underwent histopathological examination. Results: Histopathologic examination is routinely performed on gastric specimen that is resected during the sleeve gastrectomy for histopathologic examinations of the severity of inflammation, atrophy, intestinal metaplasia, and H. pylori infection. We found that the most common histopathological findings were chronic gastritis insert ignore into journalissuearticles values(58.2%);, normal gastric mucosa insert ignore into journalissuearticles values(17.6%);, and chronic active gastritis insert ignore into journalissuearticles values(12.4%);. Patients with normal gastric histopathology after LSG lost more weight at the end of the 1st, 3rd, 6th, and 12th months than those with abnormal histopathological findings insert ignore into journalissuearticles values(chronic gastritis, chronic active gastritis, and edema congestion);. Conclusions: Histopathologic examinations are extremely necessary in diagnosing lesions that may have been missed in endoscopies before sleeve gastrectomy. Many factors, such as age, sex, histopathology of the removed stomach, and H. pylori positivity, should be considered in predicting postoperative weight loss success.
Keywords : obesity, sleeve gastrectomy, bariatirc surgery