2019
DOI: 10.1007/s11695-019-03801-y
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Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?

Abstract: Background Obesity is a risk for many different cancers. Laparoscopic sleeve gastrectomy (LSG) is common, and benign or premalignant histopathology types are reported in the removed gastric specimens. We assessed whether higher BMI was associated with certain benign or pre-malignant histopathological changes. Method Retrospective chart review of all primary LSG patients (N = 1555). Demographic, clinical, and LSG histopathology data were retrieved. BMI of patients with specific benign or pre-malignant condition… Show more

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Cited by 9 publications
(6 citation statements)
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References 39 publications
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“…Histopathological examination of the resected gastric specimens revealed normal histology in 33.7% of the cases, almost equal to those published by Raess et al (35.2%) [12], but slightly higher than those published by Komaei et al [14] and Demirbas et al [15] where they found normal histology in 25.5% and 25.7% of the specimens, respectively. On the other hand, some published studies reported a higher rate of normal histology compared to our results (50.9% and 52%, respectively) [16,17].…”
Section: Discussioncontrasting
confidence: 83%
“…Histopathological examination of the resected gastric specimens revealed normal histology in 33.7% of the cases, almost equal to those published by Raess et al (35.2%) [12], but slightly higher than those published by Komaei et al [14] and Demirbas et al [15] where they found normal histology in 25.5% and 25.7% of the specimens, respectively. On the other hand, some published studies reported a higher rate of normal histology compared to our results (50.9% and 52%, respectively) [16,17].…”
Section: Discussioncontrasting
confidence: 83%
“…Previous serious review of histopathologic findings after VSG revealed the prevalence of IM to be between 0.3% and 9.9% of cases. [8][9][10]18,[23][24][25][26][27][28] In our study, IM was detected in 5.3% of all specimens after VSG.…”
Section: Discussionsupporting
confidence: 47%
“…12 In one cohort study, higher BMI revealed an independent correlation factor with the presence of IM, 34 although there are some other studies that did not confirm any relationship between IM and patient's BMI. 26,35 Another study found that age older than 60 years related to an increased the risk of IM in a Japanese population. 31 It seems that older age, H. pylori infection and a higher BMI may play important roles as etiologies of IM.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Moreover, Hp -I has been repeatedly associated with MetS and IR, as well as its hepatic component nonalcoholic fatty liver disease, recently renamed as the metabolic dysfunction-associated fatty liver disease [ 14 , 15 , 16 ]. In this regard, the incidence of Hp -I in bariatric patients and characterization of the mentioned main histopathologic precancerous lesions being found incidentally in the gastric biopsies is an attractive correlation, which has been performed only in few studies [ 4 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ]. In this retrospective study, we aimed to investigate, for the first time in Switzerland, the presence of the mentioned main histological precancerous lesions in gastric mucosa biopsies obtained in terms of a planned bariatric surgery and correlate them with a variety of metabolic parameters through the prism of Hp -I.…”
Section: Introductionmentioning
confidence: 99%