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A n n u a l E u r o p e a n C o n f e r e n c e o n
Gastroenterology
Euro Gastro 2018
J u n e 1 9 - 2 0 , 2 0 1 8
P a r i s , F r a n c e
Page 45
Journal of Clinical Gastroenterology and Hepatology
ISSN 2575-7733
Introduction:
Obesity is a serious public health problem worldwide where
about and WHO estimates that more than 300 million people are obese.
The prevalence of obesity in Serbia is 56%. The most commonly performed
bariatric surgery for the treatment of obesity is laparoscopic gastric sleeve
resection (LGS).
Goal:
This study aims to identify the histopathological features of the gastric
mucosa after the laparoscopic gastric sleeve resection; to estimate the
frequency of
Helicobacter pylori
infection; to investigate the prevalence of
preoperatively present anaemia in the patients; to estimate the frequency of
comorbid diseases and postoperative complications in patients.
Material & Methods:
Retrospective review of medical records of all LGS
patients operated upon at Thoracic Surgery Clinic, Institute for pulmonary
diseases of Vojvodina (October 2013 - October 2017, n=86), was conducted.
Results:
Of the86patients, 65%weremale, and theaverageagewas40.74 years;
while the average BMI was 46.93 kg/m2. The most common histopathologic
changes were: chronic inactive gastritis (63%), chronic active gastritis (20%),
follicular gastritis (16%), lymphoid aggregates (10.47%) and atrophy of gastric
mucosa (8.14%). Helicobacter pylori were detected in 7 patients, all of whom
had active chronic inflammation. Intestinal metaplasia was present in 3.14% of
patients. Preoperative mild anemia was discovered in 26.7% of patients, and in
the group of patients with gastric mucosal changes a significantly higher mean
corpuscular value (MCV) value
(p<0.05
) was observed. The most common
blood type in patients with histopathologic changes of gastric mucosa was
A +.
Conclusion:
According to results of this study, the incidence of histopatological
changes of gastric mucosa in obese patients is high (59.3%), and the
health sector needs to be more proactive to reach a consensus and define
the preoperative assessment for LGS patients, including gastroscopy and
serological detection of H. pylori and more laboratory tests for preoperative
detection of megaloblastic and hypochromic anaemia.
Biography
Miroslav D Ilic has completed his PhD from University of Novi
Sad in field of Hepato/Biliary/Pacreatic Surgery. He is the
Director of Centre for Esophageal and Laparoscopic Surgery
in Clinic for Thoracic Surgery, Institute for Lung Diseases in Sr.
Kamenica. He is the founder of Alma Mons Course in Bariatric
Surgery. He published 25 papers in literature as well as several
books in Surgery.
drmiroslavilic@gmail.comMiroslav D Ilic
1
, Srdjan Putnik
2
and Mia Manojlovic
3
University of Novi Sad, Serbia
General Hospital Vrsac, Serbia
University of Novi Sad, Serbia
Miroslav D Ilic et al., J Clin Gastroenterol Hepatol 2018, Volume: 2
DOI: 10.21767/2575-7733-C1-002
Hystopatological changes in resected gastric mucosa after
laparoscopic gastric sleeve resection