Sleeve Gastrectomy Pathologies: A Single-Center Retrospective Analysis

INTRODUCTION: Sleeve Gastrectomy(SG) has emerged as a prominent surgical approach in the battle against obesity, gaining widespread recognition for its effectiveness in promoting significant weight loss and improving metabolic health. However, despite its increasing popularity, the impact of SG on the histological and pathological characteristics of the gastrointestinal tract remains a subject of intense research.
METHODS: This retrospective study, conducted at Istinye University, aimed to investigate the pathological outcomes of 530 SG procedures performed between June 1, 2022, and 2023. The study included demographic information, comorbidities, operative details, and both endoscopic and pathological findings.
RESULTS: Our analysis uncovered notable trends in post-SG endoscopic and pathological findings, where 65.4% exhibited endoscopic gastritis and 70.8% showed pathological gastritis, a known factor in gastritis development, was present in 27.9% endoscopically and 35.6%pathologically. Further investigation is warranted to explore the disparities between endoscopic and pathological detection rates and assess diagnostic accuracy. The presence of comorbidities was significantly associated with gastritis(p<0.05), highlighting the potential interplay between systemic health conditions and gastric pathologies post-SG.No significant relationship was identified between gender and pathological findings.
DISCUSSION AND CONCLUSION: This study provides significant insights into the pathological outcomes of SG and underscores the importance of postoperative surveillance and management of gastric health. Routine endoscopy remains a fundamental component of postoperative care for bariatric surgery patients, contributing significantly to their long-term well-being and optimizing surgical outcomes.