Özet:

Purpose: With regard to the latest publications on random findings after Laparoscopic sleeve gastrectomy (LSG), various studies have been conducted to analyze the benefits of studying bariatric samples. In our study, we discussed the need for microscopic evaluation in the light of literature by comparing the results of the histopathological examination of the macroscopic examination notes by the surgeon of the resection material extracted after LSG. Method: Information of patients with laparoscopic sleeve gastrectomy as the cause of obesity and bariatric procedure between 2018-2020 was examined retrospectively. The patient’s gender, age, surgical procedure, body mass index (BMI), endoscopic biopsy examination results before surgery, postoperative surgeon’s macroscopic specimen examination records and postoperative pathological specimen histopathological examinations were recorded. The study included 154 patients. The average age of patients was 35,35±9,42 (19-60). Seven men, 137 were women. The average age of male patients was 32,82±9,12 (22-53). The average age of female patients was 35,67±8,57 (19-60). The average HIV of the patients involved in the study was 45.48±5.12 (40-59). In 42 (27.2% of patients, helicobacterial pylori (HP) was detected after the sample examination. A hundred eight (70.1%) patients had chronic gastritis. Two (0,01%) patients were diagnosed with intestinal metaplasy. Twenty-one (13.6 percent) of patients were diagnosed with lymphoidal hyperplasia. 1 (0,006) patients were diagnosed with gastrointestinal stromal tumor (GIST). In light of our study, the routine microscopic examination of the post-LSG resection material has not shown any additional positive effect on the patient’s health. However, the insufficient number of samples in our study and the absence of a randomized controlled study prevents us from generalizing this view. There is a need for randomized controlled studies that have sufficient number of samples.

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