Laparoskopik Sleeve Gastrektomi Materyallerinde Histopatolojik Bulguların Değerlendirilmesi

Abstract

Laparoscopic sleeve gastrectomy (LSG) is a common surgical therapeuti coption in patients with morbid obesity that debate about the value of routine histopathologi cal examination of LSG. Also the effect of Helicobacterpylori colonization of the stomach of patient sunder going LSG is unclear. Ouraim is to analyze there sults of histopathological examination of LSG specimensan didentify the prevalence of Helicobacterpylori. This study is a retrospective study of the patients who underwent LSG for the treatment of morbid obesity in our hospital between 2014-2018. Sex, age, histopathologi calfindings in the surgical specimens and prevalenceof Helicobacterpylori(HP) infection were analyzed. Gastricspecimens of a total of 110 patients( 90females, 20 males; meanage 38 ± 11.9years)were analyzed in this study.Themost common histopathological findings in the surgical specimens were chronicin active gastritis (57.3%,n=63),chronic active gastritis ( 34.5%, n= 38),intestinal metaplasia (6.4%, n=7), fundic gland polyp (1.8%,n=2), parietal cellhy pertrophia (0.9 %, n=1). Fourty eight (43.6%) patients were foundto be HP positive. There was statistically significant correlation between gastritis and HP infections. The majority of patients who underwent LSG had pathological findings in resected specimens.It is concluded that the pathological evaluation of the LSG specimens is necessary because of the clinical significance of HP infection and intestinal metaplasia.