Gastric Histopathologies in Patients Undergoing Laparoscopic Sleeve Gastrectomies

Almazeedi, Sulaiman; Al-Sabah, Salman; Al-Mulla, Ahmed; Al-Murad, Ahmed; Al-Mossawi, Abdulsamad; Alenezi, Khaled; Jumaa, Talib; Bastaki, Waleed

doi:10.1007/s11695-012-0821-y

Cited by 68 publications

(86 citation statements)

References 23 publications

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“…There is no correlation between BMI and HP infection as proved by a meta-analysis on 18 papers. [17] A study by Borg et al [18] agrees with our result in the incidence of HP related gastritis while it was much lower in Almazeedi et al [8] in comparison with this study.…”

Section: Discussion:-supporting

confidence: 91%

“…Female patients represent 67.8% of the studied patients and this in agree with many other studies and this is explained by that female patients always try to have a slim body contour. [9][10][11] The most common histopathological finding in this study was chronic non-specific gastritis which was encountered in 52.1% of patients this agrees with a study published in Jordan [12] And with other studies. [8,10] this may raise a question about the relation between obesity and chronic gastritis.…”

Section: Discussion:-supporting

confidence: 91%

“…[9][10][11] The most common histopathological finding in this study was chronic non-specific gastritis which was encountered in 52.1% of patients this agrees with a study published in Jordan [12] And with other studies. [8,10] this may raise a question about the relation between obesity and chronic gastritis. A study by Clapp [13] found that chronic gastritis was present in 44% of patients and this percent was reduced after the operation, even in patients who underwent Roux-en-Y Gastric bypass Czeczko et al [14] found that chronic gastritis decreased to a lower extent after the operation.…”

Section: Discussion:-supporting

confidence: 90%

“…A large cohort study formed in Qatar including 1555 patients found normal specimen in 52% of patients [19], while a study by Ohanessian et al [20] from USA found normal specimen in 69%. Ion the contrary no normal specimen was present in a study by Almazeedi et al [8] in Kuwait and by Firas et al [12] in Jordan and we think this is mostly due to ethnic issue.…”

Section: Discussion:-contrasting

confidence: 62%

“…[6][7][8] The number of published data regarding histopathological findings after LSG in the Arab world is scarce with low volume of cases. [8,9] To the best of our experience there is no published data in Egypt regarding the results of pathological examination of the resected gastric specimen after LSG.…”

Section: Issn: 2320-5407mentioning

confidence: 99%

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Is It Necessary to Send the Resectedd Stomach During Laparoscopic Sleeve Gastrectomy for Pathological Examination?

Ibrahim¹,

Talha²,

Elmaghraby³

2018

IJAR

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Background: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric operation in Egypt. To the best of our experience there is no published data in Egypt regarding the results of Histopathological examination of the resected gastric specimen after LSG. Objective: To find the range of gastric pathologies in the resected specimens and trying to answer the question whether the resected specimen after LSG should be sent for Histopathological examination or not? Methods: Data were collected prospectively from the period from February 2014 till May 2017 and included 211 patients. LSG was performed by the bariatric team of our department using the same technique. The resected specimen was sent to the pathology department of our institute for pathological examination. Results: the mean age of the studied patients was 36 ± 11.8 years with mean BMI of 44.1 ± 4.7 Kg/m 2 , and female patients represents 67.8% of the studied patients. Chronic nonspecific gastritis was the most common Histopathological finding and was present in 52.1% of patients, normal histopathology was present in 25.6% of patients, and Helicobacter Pylori (HP) related gastritis was present in19.9 % of patients, gastrointestinal stromal tumor (GIST) was present in 4 (1.9%) cases, and we have 1 case of healed cicatrized ulcer. Conclusion: Benign lesions accounts for 98.1% of the studied patients signifying the non-importance of routine pathological examination of the resected specimen after LSG and should only be done in case of grossly suspected lesions. Preoperative esophagogastroduodenoscopy (EGD) may be advised before surgery.

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Section: Discussion:-supporting

confidence: 91%

Section: Discussion:-supporting

confidence: 91%