Histopathological findings and helicobacterpyloriinfection frequency in 816 sleeve gastrectomymaterials for morbid obesity

Özet

Introduction: Morbid obesity is severe obesity that threatens and shortens a person’s life. Today, surgery is almost the only treatment method that has been proven to treat morbid obesity. Endoscopic gastric exami-nation is not performed preoperatively due to the complications that are associated with gastric pathologies that have not been defined. There are few studies for the purpose of determining histopathological findings in cases of sleeve gastrectomy specimens. It is thought that some postoperative complications may be related to existing histopathologic findings.Materials and Methods: Preparations of 816 sleeve gastrectomy specimens examined in the pathology lab-oratory were reevaluated and evaluated histopathologically.Results: Fifty-seven percent of 816 patients (n=465) showed no significant anomaly. Fourteen percent (n=114) showed non-Helicobacter-related gastritis. In 26% (n=212) of cases, Helicobacter pylori-associated gastritis was detected, and in 0.36% (n=3) of cases,specific gastritis (lymphocytic gastritis) was found. In 2.64% (22) of cases, intestinal metaplasia was observed. H.pylori was negative in 72% (n=588) and positive in 28% (n=228) of cases.Conclusion: We concluded that H.pylori infections do not have a risk of postoperative complications. How-ever, if premalignant lesions, such as intestinal metaplasia, are suspected, we believe that preoperative en-doscopic examination of the stomach should be performed