Gastric Histopathologies in Patients Undergoing Laparoscopic Sleeve Gastrectomies
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CLINICAL RESEARCH
Gastric Histopathologies in Patients Undergoing Laparoscopic Sleeve Gastrectomies Sulaiman Almazeedi & Salman Al-Sabah & Ahmed Al-Mulla & Ahmed Al-Murad & Abdulsamad Al-Mossawi & Khaled Al-Enezi & Talib Jumaa & Waleed Bastaki
Published online: 25 November 2012 # Springer Science+Business Media New York 2012
Abstract Background With 80 % of its population overweight, 47.5 % obese, and having the eighth fattest population worldwide, Kuwait has a serious obesity problem. This has led to widespread practice of bariatric surgery, with little or no studies regarding operative findings and patient follow-up. This study aims to identify the prevalent gastric histopathologies of the patients who have undergone laparoscopic sleeve gastrectomy (LSG) at Amiri Hospital, Kuwait. Methods A retrospective study was done of the gastric pathology specimen results of 656 patients who underwent LSG at Amiri Hospital from 2008 to 2012. Results Of the 656 patients, the average age was 33 years, and 480 (73.2 %) were female while 176 (26.8 %) were male. The histopathology results identified 488 (74.4 %) cases with chronic gastritis, 63 (9.6 %) with follicular gastritis, and 12 (1.8 %) with atrophic gastritis. A total of 12 (1.8 %) cases showed findings other than gastritis, including four (0.6 %) cases of gastric polyps, three (0.5 %) cases of granulomatous disease, and one (0.2 %) case each of the following: gastro-intestinal stromal tumor, gastro-intestinal autonomic nerve tumor, intestinal metaplasia, collagenous gastritis, and crypt cell apoptosis. Helicobacter pylori was discovered in 48 (7.3 %) of the patients. Conclusions The majority of gastric histopathology results after LSG in this study had an element of chronic gastritis S. Almazeedi : S. Al-Sabah (*) : A. Al-Mulla : A. Al-Murad : A. Al-Mossawi : K. Al-Enezi : T. Jumaa : W. Bastaki Department of Surgery, Amiri Hospital, Kuwait Ministry of Health, Kuwait, Kuwait e-mail: [email protected]
(74.4 %), which is in keeping with previous studies showing its high prevalence among the obese population. However, a few cases had clinically significant pathologies, and this may alter post-operative management. In view of these results, routine histological examination of the gastric specimens is highly recommended. Keywords Biopsy . Cytopathology . Histopathology . Laparoscopic surgery . Gastrectomy . Sleeve gastrectomy . Bariatric surgery
Introduction Food scarcity and malnutrition have always been major issues gaining much political and media attention. However, with agricultural advancement and the consequent surge in obesity rates around the world, scarcity is no longer the main concern. Today, overweight–obesity and physical inactivity are responsible for one in ten preventable premature deaths in the USA [1]. According to the World Health Organization (WHO) global health risk report of 2009, most of the world's population today lives in countries where being overweight and obese kills more people than being underweight. The issue of morbidity becomes ev
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