Evaluation of pathology results of patients who underwent sleeve gastrectomy due to obesity

INTRODUCTION: To evaluate the pathology results of patients who had laparoscopic sleeve gastrectomy due to obesity in our hospital and who did not have stomach complaints before the operation.
METHODS: We retrospectively evaluated the pathology results of the patients who underwent laparoscopic sleeve gastrectomy for obesity between March 2018 and December 2018 at the Şanlıurfa Training and Resarch Hospital General Surgery Clinic. A total of 107 patients underwent surgery in our hospital.

RESULTS: The mean age of the patients who underwent sleeve gastrectomy for morbid obesity between March 2018 and December 2018 was 36 (min: 20-max: 60 years). Eighty-one of the patients were female, and 26 were male. The mean BMI of the patients was 45.1 (min: 37.2-max: 63.4). When the pathology results of the patients were examined, the mean length of the specimen was 18.5 cm (min: 14 cm-max: 25 cm), and the mean width was 4.2 cm (min: 3 cm-max: 8 cm). Normal gastric tissue was observed in 25 (23.3%) patients. Chronic gastritis was found in 82 (76.6%) patients. In 32 (29.9%) patients with chronic gastritis, a Helicobacter pylori microorganism was positive. Metaplasia was observed in 4 (3.7%) of the patients with chronic gastritis. A patient with suspected gastrointestinal stromal tumor was diagnosed as spindle cell mesenchymal lesion and chronic gastritis.

DISCUSSION AND CONCLUSION: The number of Helicobacter pylori positive patients is related to the nutritional habits of our region. We believe that H. pylori infections are not a risk of postoperative complications. However, we think that gastroscopy should be carried out in patients with preoperative gastric complaints.