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    Sleeve Gastrectomy Pathologies: A Single-Center Retrospective Analysis
    (Yuzuncu Yil Universitesi Tip Fakultesi, 2023) Pekşen, Çağhan; Sumer, Aziz
    Sleeve Gastrectomy (SG) has emerged as a prominent surgical approach in the battle against obesity, gaining widespread recognition for its effectiveness in promoting significant weight loss and improving metabolic health. However, despite its increasing popularity, the impact of SG on the histological and pathological characteristics of the gastrointestinal tract remains a subject of intensive research. This retrospective study, conducted at Istinye University, aimed to investigate the pathological outcomes of 530 SG procedures performed between June 1, 2022, and 2023. The study included demographic information, comorbidities, operative details, and both endoscopic and pathological findings. Our analysis uncovered notable trends in post-SG endoscopic and pathological findings. Gastritis was observed in a significant portion of patients, where 65.4% exhibited endoscopic gastritis and 70.8% showed pathologi cal gastritis. H. pylori infection, a known factor in gastritis development, was detected in 27.9% endoscopically and 35.6% pathologically. Further investigation is warranted to explore the disparities between endoscopic and pathological detection rates an d assess diagnostic accuracy. The presence of comorbidities showed a significant association with gastritis (p < 0.05), underscoring the potential interplay between systemic health conditions and gastric pathologies following SG. No significant relationshi p was found between gender and pathological findings. This study offers valuable insights into the pathological outcomes of SG and emphasizes the importance of postoperative monitoring and the management of gastric health. Routine endoscopy remains a funda mental component of postoperative care for bariatric surgery patients, contributing significantly to their long-term well-being and optimizing surgical outcomes. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
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    Unveiling the Safety and Efficacy of Bariatric Surgery in Geriatric Patients: A Comprehensive Analysis of Three Years' Experience
    (Yuzuncu Yil Universitesi Tip Fakultesi, 2023) Aktokmakyan, Talar Vartanoglu; Peksen, Caghan; Savaş, Osman Anıl; Sumer, Aziz
    Bariatric surgery has gained popularity as an effective method for achieving and maintaining weight loss. Despite higher mortality/morbidity risks and uncertain long-term outcomes due to age-related factors, bariatric surgery can also be beneficial for geriatric obese patients. In this study, we aimed to examine the outcomes of bariatric surgery performed on geriatric patients in our clinic. A retrospective analysis was conducted on 14 patients aged 65 and above who underwent bariatric surgery between March 2019 and 2021. Patients were evaluated preoperatively through a multidisciplinary approach. Among the 14 patients included in the study (11 females, 3 males), the mean a ge was 67 [65-74]. The mean Body Mass Index (BMI) was 42 kg/m² [40-60.4]. Comorbidities included hypertension (HT) in 11 patients, diabetes mellitus (DM) in 8 patients, and hyperlipidemia in 11 patients. A total of 9 patients had a history of antiplatelet use due to Chronic Arterial Disease (CAD). Among the patients, ten underwent Laparoscopic Sleeve Gastrectomy, while four opted four Mini Gastric Bypass. The mean hospital stay was 3 days, and all patients were discharged smoothly after this period (100%). No patient required postoperative intensive care (0%), and there were no observed mortalities (0%). At the 6th postoperative month, the mean BMI was 31.6 kg/m². Our study suggests that bariatric surgery can be effective and safe for well-selected geriatric obese patients. It is crucial to carefully consider patient selection and manage comorbidities to achieve positive outcomes. In well-selected geriatric obese patients, bariatric surgery can be an effective and safe method. Further research with larger sam ples is warranted to validate our findings and improve patient care in this population. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.