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

Yardımcı, Erkan; Bozkurt, Süleyman; Baskoy, L.; Bektaşoğlu, Hüseyin Kazım; Geçer, Melin Özgün; Yigman, Samet; Akbulut, Hüseyin; Coşkun, Halil

doi:10.1007/s11695-017-3014-x

Cited by 27 publications

(16 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Neoplasia was a rare finding in both our study and previous studies. While the frequency of GIST ranges from 0 to 1.2% (10,11,15,16,19,20,25) in the literature, we found 0.44% in our series. We detected all of these patients during the surgery and there was no need to change the treatment and follow-up protocol both in the surgical technique and in the postoperative period.…”

Section: Discussioncontrasting

confidence: 60%

See 1 more Smart Citation

Unexpected Histopathological Findings After Laparoscopic Sleeve Gastrectomy

Batman¹,

Altun²

2020

Istanbul Med J

View full text Add to dashboard Cite

Amaç: Obezite sıklığı tüm dünyada artmaktadır. Laparoskopik sleeve gastrektomi (LSG) günümüzde dünya genelinde en sık uygulanan bariatrik cerrahi olarak yerini almıştır. Diğer bariatrik cerrahilerin aksine LSG'de patolojik inceleme yapılabilecek bir piyes çıkmaktadır. Bu çalışmanın amacı LSG'yi takiben beklenmeyen histopatolojik bulguları tanımlamaktır. Results: One thousand three hundred sixty four patients underwent LSG. The mean age was 40.93±10.86 years; 974 patients (71.48%) were female. The mean BMI was 42.23±7.28. The most common findings in the pathologies were normal gastric specimen (50%), gastritis (30%) and changes due to proton pump inhibitor use (23%) respectively. Conclusion: Gastroscopy should be added to the preoperative preparation process in cases where there is no gastric specimen after the operation. Preoperative gastroscopy is not a necessity for laparoscopic sleeve gastrectomy. It can be performed in selected cases.

show abstract

Section: Discussioncontrasting

confidence: 60%

“…In most of the previously published series, it was reported that upper gastrointestinal system endoscopy was performed preoperatively, and fewer studies reported that there were few or no endoscopic examinations (7)(8)(9)(10)(11). However, this issue is still controversial.…”

Section: Introductionmentioning

confidence: 99%

Unexpected Histopathological Findings After Laparoscopic Sleeve Gastrectomy

Batman¹,

Altun²

2020

Istanbul Med J

View full text Add to dashboard Cite

show abstract

“…Generally, pre-malignant lesions identified in LSG specimens across 11 studies varied from 4.1 to 33.2% [10,18,[36][37][38][39][40][41][42][43][44]. However, across these 11 abovementioned studies, there was zero actual malignancy reported, despite that these studies were undertaken in a wide variety of geographical areas worldwide with different risk of gastric cancers.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, even with our 7.5% pre-malignant lesions identified in LSG specimens, and with the huge number of LSG procedures undertaken worldwide, such current lack of the evidence base renders us unable to extrapolate in any way the potential number of patients with pre-malignant lesions that would actually turn malignant or whether such numbers would be high and alarming or otherwise. Hence, there exists much debate regarding the role of routine histopathological examination of LSG specimens [10,18,[36][37][38][39][40][41][42][43][44], and some authors have suggested that histopathological examination of LSG specimens is to be done when intraoperative macroscopic pathology is observed [10,18,43]. Future research would benefit from addressing these points.…”

Section: Discussionmentioning

confidence: 99%

Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?

2019

View full text Add to dashboard Cite

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 conditions in their gastric specimens was compared with the BMI of the rest of the patients with abnormal histopathology specimens and also compared with the BMI of patients with normal control specimens.Results Females comprised 70% of the patients. Mean BMI were 46.3 (females) and 48 (males). Normal LSG specimens comprised 52%. Most common abnormal histopathologies were chronic inactive gastritis (33%), chronic active gastritis (6.8%), follicular gastritis (2.7%), lymphoid aggregates (2.2%), intestinal metaplasia (1.4%) and GIST (0.7%). After controlling for confounders (age, gender, H. pylori, diabetes mellitus type 2, hypertension), no significant association was observed between the BMI of patients with specific benign or pre-malignant histopathology compared with the BMI of the rest of the patients with abnormal histopathologies and compared to the BMI of patients with normal histopathologies. Conclusion When confounders were taken into account, there appeared no significant associations between the BMI of patients with specific benign or pre-malignant histopathology compared with the BMI of the rest of the patients with abnormal histopathologies and compared to the BMI of patients with normal histopathologies of their gastric specimens. There was a very weak correlation between BMI and other covariates.

show abstract

“…On the contrary, Yardimci et al [ 18 ] evaluated 755 specimens and found neoplasms in 4 (0.5%) cases. Canil et al [ 19 ] analyzed 925 cases in a 5-year span with a 0.3% rate of neoplasms.…”

Section: Discussionmentioning

confidence: 99%

Macroscopic Evaluation of Gastric Specimens After Laparoscopic Sleeve Gastrectomy—an Optimum Screening Test for Incidental Pathologies?

et al. 2018

View full text Add to dashboard Cite

During LSG, a thorough visual inspection of the peritoneal cavity along with a macroscopic surgical evaluation of specimen in patients who had preoperative endoscopy with no findings allows to achieve very good specificity and good sensitivity. Therefore, this procedure may be useful as a screening test for incidental pathologies in bariatric patients and may exclude unnecessary histological examination.

show abstract

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

Abstract: Both preoperative endoscopic assessment and postoperative histopathological examination of the specimen are mandatory in LSG patients.

Cited by 27 publications

References 28 publications

Unexpected Histopathological Findings After Laparoscopic Sleeve Gastrectomy

Unexpected Histopathological Findings After Laparoscopic Sleeve Gastrectomy

Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?

Macroscopic Evaluation of Gastric Specimens After Laparoscopic Sleeve Gastrectomy—an Optimum Screening Test for Incidental Pathologies?

Contact Info

Product

Resources

About