Dergiler / Cerrahpaşa Medical Journal / 2022 / Cilt: 46 - Sayı: 1

Histopathological Examination of Gastrectomy Specimens After Laparoscopic Sleeve Gastrectomy and the Importance of Preoperative Endoscopy

Sayfa
26–29
Yayın Tarihi
2022-10-12
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Furthermore, the post-operative histopathological analysis can reveal important pathologies that may go unnoticed in the preoperative period.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: Laparoscopic sleeve gastrectomy is the most commonly performed procedure for the surgical treatment of obesity.
📊
Temel Bulgular & Veri:Methods: A total of 232 patients who have undergone the laparoscopic sleeve gastrectomy procedure between the years 2015 and 2020 were included in this study.
💡
Sonuç & Katkı:Furthermore, the post-operative histopathological analysis can reveal important pathologies that may go unnoticed in the preoperative period.
🔬Tür:Araştırma Makalesi
📍Kapsam:2015 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: Laparoscopic sleeve gastrectomy is the most commonly performed procedure for the surgical treatment of obesity. In this study, we aimed to analyze the histopathological specimens of laparoscopic sleeve gastrectomy patients. Methods: A total of 232 patients who have undergone the laparoscopic sleeve gastrectomy procedure between the years 2015 and 2020 were included in this study. The pathology reports of these patients were evaluated from the patient files retrospectively. The age, gender, comorbid diseases, and the body mass index of each patient were noted from the patient files. None of the patients had undergone preoperative endoscopy. Results: In the study, 87 (37.5%) of the patients were male and 145 (62.5%) were female. The mean age of the patient was 42.9 ± 12.0 years and the mean body mass index was 40.2 ± 4.9. As for the comorbidities, 24.2% had diabetes mellitus, 23.3% had hypertension, and 7.8% had obstructive sleep apnea. The histopathological specimens revealed that 22 patients had intestinal metaplasia, 3 patients had gastrointestinal stromal tumor, 2 had neuroendocrine tumor, 2 had leiomyoma, 1 had squamocolumnar changes, and 1 had a hyperplastic polyp. Conclusion: Preoperative endoscopy may reveal possible benign or malignant pathologies, which will lead to better treatment of the patients. Furthermore, the post-operative histopathological analysis can reveal important pathologies that may go unnoticed in the preoperative period.

🔖

Bu Makaleye Atıf Yap

ZENGİN, A. K., TOZAKOĞLU, B., TAŞKIN, H. E., ÖZTÜTÜNCÜ, Ö., ŞANLI, A. N. (2022). Histopathological Examination of Gastrectomy Specimens After Laparoscopic Sleeve Gastrectomy and the Importance of Preoperative Endoscopy. Cerrahpaşa Medical Journal, Cilt: 46 - Sayı: 1, 26–29. https://ajindex.com/articles/473107

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (13)

  1. D'Silva M, Bhasker AG, Kantharia NS, Lakdawala M. High-percentage pathological findings in obese patients suggest that esophagogastro-duodenoscopy should be made mandatory prior to bariatric surgery. Obes Surg. 2018
  2. 28(9):2753-2759. [CrossRef] 2. Brown WA, Johari Halim Shah Y, Balalis G, et al. IFSO position statement on the role of esophago-gastro-duodenal endoscopy prior to and after bariatric and metabolic surgery procedures. Obes Surg. 2020
  3. 30(8):3135-3153. [CrossRef] 3. Al-Harbi O, Shakir M, Al-Brahim N. Gastric carcinoid and obesity: association or coincidence? Report of two cases and literature review. Case Rep Gastrointest Med. 2013
  4. 848075. [CrossRef] 4. Wang S, Wang Q, Xu L, et al. Beware pathological findings of the stomach in patients undergoing bariatric surgery: a systematic review and meta-analysis. Obes Surg. 2021
  5. 31(1):337-342. [CrossRef] 5. Raghavendra RS, Kini D. Benign, premalignant, and malignant lesions encountered in bariatric surgery. JSLS. 2012
  6. 16(3):360-372. [CrossRef] 6. Dixon MF, Genta RM, Yardley JH, Correa P. Classification and grading of gastritis. The updated Sydney system. International Workshop on the Histopathology of Gastritis, Houston 1994. Am J Surg Pathol. 1996
  7. 20(10):1161-1181. [CrossRef] 7. Landsberg L, Aronne LJ, Beilin LJ, et al. Obesity-related hypertension: pathogenesis, cardiovascular risk, and treatment-a position paper of the the Obesity Society and the American Society of Hypertension. Obesity. 2013
  8. 21(1):8-24. [CrossRef] 8. Uylaş U, Gundogu R, Çiçek E, et al. Histopathological findings of gastric specimens of patients undergoing sleeve gastrectomy. J Exp Clin Med. 2021
  9. 38(3):322-325. [CrossRef] 9. Canil AM, Iossa A, Termine P, Caporilli D, Petrozza V, Silecchia G. Histopathology findings in patients undergoing laparoscopic sleeve gastrectomy. Obes Surg. 2018
  10. 28(6):1760-1765. [CrossRef] 10. Ricci C, Agostinelli C, Ambrosi F, et al. Gastric MALT lymphoma in a sleeve gastrectomy specimen: case report and literature review. Bariatr Surg Pract Patient Care. 2018
  11. 13(2):90-93. [CrossRef] 11. Schirmer B, Erenoglu C, Miller A. Flexible endoscopy in the management of patients undergoing Roux-en-Y gastric bypass. Obes Surg. 2002
  12. 12(5):634-638. [CrossRef] 12. Madan AK, Speck KE, Hiler ML. Routine preoperative upper endoscopy for laparoscopic gastric bypass: is it necessary? Am Surg. 2004
  13. 70(8):684-686. 13. Di Lorenzo N, Antoniou SA, Batterham RL, et al. Clinical practice guidelines of the European Associati