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ORIGINAL ARTICLE
Year : 2018  |  Volume : 16  |  Issue : 3  |  Page : 296-299

Evaluation of the importance of histopathology of all gastric remnants following sleeve gastrectomy


1 Department of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit, Egypt
2 Department of General Surgery, Faculty of Medicine, Al-Azhar University, Egypt
3 Department of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit Branch, Assuit, Egypt

Correspondence Address:
Abd Al-Kareem Elias
Department of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit, 33515
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AZMJ.AZMJ_108_18

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Background This study attempts to determine the importance of histopathology of all gastric remnants after sleeve gastrectomy (SG). Patients and methods Data were collected on patients undergoing SG between 8 January 2017 and 6 June 2018 in Al-Azhar University Hospitals. Significant abnormalities were classified as any pathology that might require follow-up or treatment beyond the standard follow-up. Age, comorbidities, sex, and Helicobacter pylori titers were analyzed and compared with pathology specimens. Results Full pathologic evaluation was available for 60 patients. No examples of malignancy or dysplasia were identified. Gastritis was the most common abnormality. There was a statistically significant association between preoperative H. pylori and significantly abnormal pathology. Other comorbidities had no association. Conclusions These results suggest that full pathologic evaluation of the gastric remnant following SG is unnecessary, particularly when gross pathology is not noted at initial operation.


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