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Gastritis in patients undergoing sleeve gastrectomy
| Content Provider | Semantic Scholar |
|---|---|
| Author | Rath-Wolfson, Lea Varona, Roy Bubis, Golan Tatarov, Alexander Koren, Rumelia Ram, Edward |
| Copyright Year | 2017 |
| Abstract | Laparoscopic sleeve gastrectomy (LSG) is a therapeutic option in severely obese patients. The aim of this study was to evaluate the presence of Helicobacter pylori (HP) gastritis and non-Helicobacter gastritis in the gastrectomy specimens, and its association to other variables.One hundred six sleeve gastrectomy specimens were examined histopathologically for the presence of gastritis and its relation to other factors like ethnicity, glycemic control, and postoperative complications.Twelve patients had HP gastritis, 39 had non-HP gastritis, and 55 had normal mucosa. There was a statistical difference between the Arab and Jewish Israeli patients in our study. Twenty-eight of the Arab patients had HP gastritis and 48% had non-HP gastritis. In the Jewish population 6% had HP gastritis and 34% had non-HP gastritis. The preoperative glycemic control was worse in the gastritis group with a mean HbA1c of 8.344% while in the normal mucosa group the mean HbA1c was 6.55. After operation the glycemic control reverted to normal in most the diabetic patients. There were few postoperative complications however, they were not related to HP.There is a high incidence of gastritis in obese patients. The incidence of gastritis in the Arab population in our study was higher than that in the Jewish population. The glycemic control before surgery was worse in patients with gastritis than in the normal mucosa group. HP bares no risk for postoperative complications after LSG and does not affect weight loss. However a larger cohort of patients must be studied to arrive at conclusive results. |
| Starting Page | 2012 |
| Ending Page | 2022 |
| Page Count | 11 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 28422853v1 |
| Alternate Webpage(s) | https://doi.org/10.1097/MD.0000000000006602 |
| DOI | 10.1097/MD.0000000000006602 |
| Journal | Medicine |
| Volume Number | 96 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Chronic gastritis Diabetes Mellitus Gastrectomy Gastric Emptying Helicobacter pylori gastritis How Much Distress Weight Loss Large Lymphoma Mucous Membrane Obesity Patients Postgastrectomy Syndromes Postoperative Complications Specimen Sulfhydryl Reagents Surgical Procedures, Laparoscopic Ulcer |
| Content Type | Text |
| Resource Type | Article |
