Medical Science
Volume 24, Issue 106, November - December, 2020
Is there a need for histopathological evaluation of sleeve gastrectomy specimens under the age of 40? Is macroscopic evaluation not enough?
Hüseyin Çiyiltepe1♦, Anıl Ergin1, Ali Cihan Bilgili1, Mehmet Mahir Fersahoğlu1, Nuriye Esen Bulut1, Mehmet Timuçin Aydın1, Aziz Bora Karip1, Adnan Somay2, Kemal Memişoğlu1
1University of Health Sciences, Istanbul Fatih Sultan Mehmet Training and Research Hospital, Department of General Surgery
Istanbul, Turkey
2University of Health Sciences, Istanbul Fatih Sultan Mehmet Training and Research Hospital, Department of Pathology, İstanbul,
Turkey
♦Corresponding author
University of Health Sciences, Istanbul Fatih Sultan Mehmet Training and Research Hospital, Department of General Surgery Istanbul,
Turkey;
Email: drciyiltepe@hotmail.com
ABSTRACT
Background: Obesity is an increasing public health problem all over the world and laparoscopic sleeve gastrectomy (LSG) is the most
common bariatric surgical method with sufficient weight loss. The need for histopathological evaluation of the stomach specimen
removed is discussed all over the world. Materials and Methods: The aim of this study is to compare the pathology findings of LSG
specimens in patients under and over 40 years old. Between January 2013 and June 2020, 1584 gastric resection material who had
undergone LSG was evaluated. The patients were divided into two groups as those over and under 40 years of age, and their
pathology results were compared. Results: Normal findings were identified in almost half of the specimen (46.6%) and the most
common pathological alteration was chronic inactive gastritis (34.3%). There was an increased risk of intestinal metaplasia (%0,8;
%11,5; p=0.00) and unexpected gastric pathologies in patients over 40 years of age. Conclusion: We believe that it would be more
cost-effective not to evaluate LSG specimens routinely in patients under 40 years of age in the absence of macroscopically
pathologies in low-income countries.
Keywords: Gastrectomy, Bariatric surgery, Granulomatous disease, gastrointestinal stromal tumor
Medical Science, 2020, 24(106), 4615-4621
