Rare Entities of Histopathological Findings in 755 Sleeve Gastrectomy Cases: a Synopsis of Preoperative Endoscopy Findings and Histological Evaluation of the Specimen

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dc.contributor.authorYardimci, Erkan
dc.contributor.authorBozkurt, Suleyman
dc.contributor.authorBaskoy, Lutfullah
dc.contributor.authorBektasoglu, Huseyin Kazim
dc.contributor.authorGecer, Melin Ozgun
dc.contributor.authorYigman, Samet
dc.contributor.authorAkbulut, Huseyin
dc.date.accessioned2024-03-13T10:30:51Z
dc.date.available2024-03-13T10:30:51Z
dc.date.issued2018
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractLaparoscopic sleeve gastrectomy (LSG) is the most preferred technique in morbidly obese patients for weight loss. There is a controversy about the routine preoperative evaluation of the stomach and the routine microscopic examination of all LSG specimens. Our aim is to analyze the results of both preoperative upper gastrointestinal endoscopy and endoscopic biopsies and also the results of histopathological examination of LSG specimens. The data of patients who underwent LSG from January 2011 to November 2016 were analyzed retrospectively from a prospectively collected database. Seven hundred fifty five of 819 patients who met the inclusion criteria were included in this study. Data on patients' demographic variables [age, gender, BMI (kg/m(2))], preoperative upper GI endoscopy and biopsy results, postoperative histopathological results of the specimens, and the process of the patients with malignant histopathological investigation in the follow-up period were collected. This study involves 755 patients with a mean age of 39.6 +/- 11.7 years and has 496 (65.6%) to 259 (34.4%) female to male ratio. None of the patients harbored macroscopic or microscopic malignant pathological finding in the preoperative assessment. Hiatal hernia was detected in 78 (10.2%) patients and gastric/duodenal ulcers were detected in 52 (6.8%) patients in endoscopy. Incidental malignant and/or premalignant histopathological findings-intestinal metaplasia (1.4%) and malignant lesions (0.5%)-were rarely found in the evaluation of the surgical specimens. Both preoperative endoscopic assessment and postoperative histopathological examination of the specimen are mandatory in LSG patients.en_US
dc.identifier.doi10.1007/s11695-017-3014-x
dc.identifier.endpage1295en_US
dc.identifier.issn0960-8923
dc.identifier.issn1708-0428
dc.identifier.issue5en_US
dc.identifier.pmid29151240en_US
dc.identifier.scopus2-s2.0-85034261394en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1289en_US
dc.identifier.urihttps://doi.org/10.1007/s11695-017-3014-x
dc.identifier.urihttps://hdl.handle.net/20.500.12662/3560
dc.identifier.volume28en_US
dc.identifier.wosWOS:000433126400014en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofObesity Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBariatric surgeryen_US
dc.subjectSleeve gastrectomyen_US
dc.subjectEndoscopyen_US
dc.subjectHistopathologyen_US
dc.titleRare Entities of Histopathological Findings in 755 Sleeve Gastrectomy Cases: a Synopsis of Preoperative Endoscopy Findings and Histological Evaluation of the Specimenen_US
dc.typeArticleen_US

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