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The risk of becoming symptomatic for asymptomatic cholelithiasis is very close to the healthy population after sleeve gastrectomy. Although further studies with a high number of cases are needed, we suggest only observation for asymptomatic gallbladder stones in patients who will undergo sleeve gastrectomy.

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Background: Laparoscopic sleeve gastrectomy (LSG) has become more popular among other bariatric procedures. The histopathologic changes in the sleeve gastrectomy specimens have not been widely investigated among the Turkish population. Objective: The purpose of this study was to delineate these histopathologic findings of the LSG specimens of morbidly obese patients from a single center. Materials and Methods: A prospective database of all patients who have undergone LSG at a single center was reviewed. Demographic parameters, that is, sex, age, and body mass index were examined. The incidence of Helicobacter pylori, and other pathologic findings in the specimens were studied. Results: In total, 253 patients who had undergone LSG between the period spanning from April 2012 to January 2017 were included in the study. The 183 patients were female individuals and 70 patients were male individuals. The mean age at the time of operation was 38.5 years (range, 18 to 65 y). The mean body mass index was 47.7 kg/m2. The pathologic findings were H. pylori positivity in 69 patients (27%), chronic active gastritis in 52 patients (20.5%), chronic gastritis in 135 patients (53.4%), and intestinal metaplasia in 5 patients (2%), whereas normal histopathologic findings were observed in 65 patients (25.7%). As regards surgical complications, the mortality rate was 0%, the staple-line leak was observed in 2 patients (0.8%), and intra-abdominal hemorrhage occurred in 2 patients (0.8%). Conclusions: The majority of patients who underwent LSG had pathologic findings in the resected specimens. With regard to the high incidence of pathologic findings in this study, we conclude that it is essential to send the gastrectomy materials for pathologic investigation after sleeve gastrectomy.

Ö ÖZ ZE ET T A Am ma aç ç: : Ameliyathane hemşirelerinin iş ortamına bağlı gerginlik ve stresle baş etme durumlarının incelenmesi amacıyla tanımlayıcı bir araştırma olarak yapılmıştır. G Ge er re eç ç v ve e Y Yö ön n--t te em ml le er r: : Çalışma, Ocak-Nisan 2014 tarihleri arasında, İstanbul İli Anadolu yakasında bulunan, ameliyat masası ve ameliyathane hemşiresi sayısı en yüksek dört olan kamu hastanesi ile dört özel hastanede yürütülmüş olup, araştırmanın verileri Kişisel Özellikler Bilgi formu (KÖBF), Stresle Başa Çıkma Tarzları Ölçeği formu (SBTÖ), İşe Bağlı Gerginlik Ölçeği Formu (İBGÖ) kullanılarak toplanmıştır. Çalışmanın örneklemini, çalışmaya katılmayı kabul eden 210 ameliyathane hemşiresi oluşturmuştur. Veri analizinde, IBM SPSS Statistics v24 programı kullanılarak yüzdelik dağılım, Pearson korelasyon analizi ve Independent Sample t-testleri kullanılmış ve sonuçlar %95 güven aralığında, anlamlılık değeri p<0,05 düzeyinde değerlendirilmiştir. B Bu ul lg gu u--l la ar r: : Hemşirelerde işe bağlı gerginlik ve stresle baş etme tarzları alt faktörleri olan kendine gü-venli yaklaşım (r=-423), iyimser yaklaşım (r=-213) ve sosyal destek arama yaklaşımı (r=-,154) arasında anlamlı ve negatif bir ilişki bulunur iken; çaresiz yaklaşım (r=,366) ve boyun eğici yaklaşım (r=,209) arasında anlamlı pozitif ilişki saptanmıştır. İşe bağlı gerginlik artarken; kendine güvenli yaklaşım, iyimser yaklaşım ve sosyal destek arama yaklaşımının azalmakta olduğu belirlenmiştir. Çalışma biçimleri ile işe bağlı gerginlik ve stresle baş etme arasında anlamlı bir ilişki bulunmuş olup, vardiya usulü çalışan hemşirelerin daha gergin oldukları ve "çaresiz yaklaşım" puanlarının daha yüksek olduğu saptanmıştır. S So on nu uç ç: : Ameliyathane hemşirelerinin çalıştıkları ortamda daha kaliteli hizmet verebilmeleri için, çalışma koşullarının düzenlenmesi ve hizmet içi eğitim programları ile stresle baş etme yollarının öğretilmesi ve psikolojik rehberlik hizmetlerinin verilmesi önerilebilmektedir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Ameliyathane hemşireliği; uyum, psikolojik; stres, psikolojik A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : This descriptive study aimed to investigate the effect of coping with workrelated strain and the ways of coping with stress among the operating room nurses. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The study was conducted between January 2014-April 2014 in four training-research hospitals and four hospitals have the largest number of operating rooms and operating room nurses in İstanbul Anatolia. Data was collected using Personal Attributes Questionnaire (PAQ), WorkRelated Strain Inventory (WRSI) and Ways of Coping Questionnaire (WCQ). The sample included 210 operating room nurses who accepted participating. Data were analyzed using the IBM SPSS Statistics for Windows v24. Findings evaluated according to a confidence interval of 95% and a significance level of p<0.05 and presented as frequency and percentage values with Pearson's correlations analysis and Ind...

Background: It is a matter of search that resected gastric specimen measurements (RGSM) has an effect on weight loss following LSG. The aim of this study was to investigate the influence of RGSM on weight loss at 3-6-12 months after LSG. Methods: 64 Patients who underwent LSG between 2014-2018 at Marmara University Hospital were enrolled. The LSG procedure and RGSMs were performed using standardized techniques. Patients were followed-up every 3 months in the first year. Correlations between the percentages of excess weight losses (EWL) at 3rd, 6th, 12th months and RGSMs were evaluated. Results: No major complication was seen. Mean body mass index (BMI) at 1 year after LSG was significantly lower than the baseline BMI 50.4±8.4 kg/m 2 versus 31±6.1 kg/m 2 ; P=0.001). Mean % EWLs-3rd,-6th,-12th months were 39%, 59%, 75%, respectively. Resected gastric volume (RGV) was 803.28±37.2 mL. Expansibility on resection line (LRL-e) was 17.2±1.3 %. There was no correlation between RGV and % EWL at 3-6-12 mo. However, the % EWL-12 mo. was correlated with LRL-e (r=0,514, p=0,014). Conclusion: There is a positive correlation between 12th mo EWL% and LRL-e of resected specimen. This may bea harbinger of good weight loss during the theatre.

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