HISTOPATHOLOGICAL SPECTRUM OF SLEEVE GASTRECTOMY IN KING FAHD HOSPITAL OF UNIVERSITY, ALKHOBAR, SAUDIA ARABIA.
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Abstract
Objective: This study was carried out to evaluate the spectrum of histopathological lesions in laproscopic sleeve gastrectomies (LSG) carried out at a tertiary care hospital in Saudi Arabia.
Methodology: This study was conducted at the department of pathology, King Fahd Hospital of the University, Al- Khobar, Saudi Arabia, from December 2010 to February 2012. We reviewed the histopathological findings of gastric resection specimens of morbidly obese patients undergoing LSG. Histopathological evaluation of all specimens was carried out. Pre-op endoscopic biopsy when available was also reviewed for any histopathological lesion. Time interval between the two procedures was noted.
Results: Twenty seven LSG specimens were received during the study period. Male to female ratio was 25:2(93%:7%), mean age of the patients was 35.74 ± 8.68 years, while the mean weight of LSG specimens was 94.519±21.73g. The predominant histopathological finding was mild chronic quiescent gastritis (74%). Helicobacter pylori (H.Pylori) associated gastritis comprised a small fraction (11.1%). Pre-operative endoscopic biopsy was available in 29.63% of cases and out of these 62.5% of cases had H.Pylori infection.
Conclusion: The gastric specimens of obese Saudis undergoing LSG mainly presented with a spectrum of gastritis including H.Pylori infection.
Key Words: Morbid Obesity, Laproscopic Sleeve Gastrectomy (LSG), H.Pylori, Gastritis, Upper Gastrointestinal Endoscopy.
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