Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature review
| Autor: | Mohammed N. AlAli, Fahad Alabdullatif, Tarek Aljuhani, Abdullah Aldohayan, Fahad Bamehriz, Sarah Alhaizan, Khalid A. Alnaeem, Abdulrahman F. Alzamil, Mohammed Aldeghaither, Hassan Arishi, Ibrahim R. AlHashim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty business.industry lcsh:R MEDLINE Gastric Bypass Saudi Arabia Bariatric Surgery lcsh:Medicine 030209 endocrinology & metabolism Retrospective cohort study General Medicine Surgery Obesity Morbid 03 medical and health sciences 0302 clinical medicine Treatment Outcome Medicine Humans 030211 gastroenterology & hepatology Laparoscopy Original Article Single institution business Retrospective Studies |
| Zdroj: | Annals of Saudi Medicine, Vol 40, Iss 5, Pp 389-395 (2020) Annals of Saudi Medicine |
| ISSN: | 0975-4466 0256-4947 |
| Popis: | BACKGROUND: Data are lacking on trends in bariatric surgery and the frequency of incidental findings in Saudi Arabia. OBJECTIVE: Report on trends in bariatric surgery as well as our experience in incidental findings along with a literature review (mainly on gastrointestinal stromal tumor). DESIGN: Retrospective chart and literature review. SETTINGS: Academic tertiary care center. PATIENTS AND METHODS: We conducted a retrospective study at King Khalid University Hospital and analyzed the data collected from 2009 to 2019. We collected data on age, body mass index (BMI), H pylori infection, type of bariatric surgery performed, and type and location of incidental findings. MAIN OUTCOME MEASURES: Incidental findings during or after bariatric surgery (in pathology specimen). SAMPLE SIZE: 3052 bariatric surgeries, 46 patients with incidentalomas. RESULTS: The mean and standard deviation for the age of the 46 patients with incidentalomas was 42.1 (13.9) years and the mean (SD) preoperative BMI was 43.4 (6.4) kg/m 2 . Of 3052 bariatric surgeries performed, the most common type was sleeve gastrectomy (93.9%), followed by gastric bypass surgery (4.58%) and gastric banding (1.47%). The total frequency of incidentalomas was 1.5%; 10.8% of patients had gastrointestinal stromal tumors (GIST), with the stomach being the commonest site for incidental findings. Eighty percent of the patients with GIST were positive for H pylori ( P =.01 vs negative patients). CONCLUSION: The number of incidentalomas and other findings were consistent with other reports. All these findings suggest that bariatric surgeons should take special care before, during, and after a laparoscopic operation in obese patients. LIMITATIONS: Since this is a single-center, retrospective study, we did not collect data on important variables such as gender, socioeconomic status of the patient, and family history of obesity, and we did not perform a preoperative esophagogastroduodenoscopy. CONFLICT OF INTEREST: None. |
| Databáze: | OpenAIRE |
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