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Obesity Surgery

, Volume 29, Issue 11, pp 3674–3679 | Cite as

Helicobacter Pylori Infection Prevalence and Histopathologic Findings in Laparoscopic Sleeve Gastrectomy

  • Gülay Turan
  • Servet KocaözEmail author
Original Contributions
  • 91 Downloads

Abstract

Introduction

Helicobacter pylori (H. pylori) is a type of bacteria that affects more than half of the world’s population and has been associated with gastritis. The relationship between H. pylori and obesity is controversial. Laparoscopic sleeve gastrectomy (LSG) is the most commonly used surgery for morbidly obese patients. The aim of this study was to investigate the rate of H. pylori in patients undergoing LSG.

Methods

Biopsy specimens of 32,743 patients who underwent esophagogastroduodenoscopy (EGD) and resection materials from 1257 patients who underwent LSG were examined histopathologically. The relationships between body mass index (BMI), age, gender, H. pylori infection, and intestinal metaplasia (IM) were investigated in patients with gastritis.

Results

In patients undergoing EGD, the association of H. pylori infection was found to be increased in males and the elderly (p < 0.001). The presence of gastritis and IM was significantly higher with H. pylori infection (p < 0.001 and p = 0.001, respectively). H. pylori infection was significantly higher in patients over the age of 41 years (p < 0.001). There was no significant difference between the results of H. pylori before and after LSG surgery (p = 0.923). The presence of H. pylori together with gastritis and IM was found to be significant (p < 0.001).

Conclusions

H. pylori infection increases with age. No significant difference was found in the examination for H. pylori before and after LSG surgery. In addition, no relationship was found between H. pylori and excess weight. However, due to the low average age of patients who underwent LSG, further studies are needed in this area.

Keywords

Obesity Sleeve gastrectomy Pathologic findings Helicobacter pylori 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.The Department of Medical Pathology, Faculty of MedicineBalıkesir UniversityBalıkesirTurkey
  2. 2.Department of General SurgeryAnkara Atatürk Eğitim ve Araştırma Hastanesi Üniversiteler mahAnkaraTurkey

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