GASTRIC AND JEJUNAL HISTOPATHOLOGICAL CHANGES IN PATIENTS UNDERGOING BARIATRIC SURGERY

Autor: Rosemary Simões Nomelini RODRIGUES, Élia Cláudia de Souza ALMEIDA, Silvia Maria Perrone CAMILO, Júverson Alves TERRA-JÚNIOR, Lucinda Calheiros GUIMARÃES, Ana Cristina da Rocha DUQUE, Renata Margarida ETCHEBEHERE
Jazyk: English<br />Portuguese
Rok vydání: 2016
Předmět:
Zdroj: ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 29, Iss suppl 1, Pp 35-38 (2016)
Druh dokumentu: article
ISSN: 0102-6720
DOI: 10.1590/0102-6720201600s10010
Popis: ABSTRACT Background: Morbid obesity is a multifactorial disease that increasingly is being treated by surgery. Aim: To evaluate gastric histopathological changes in obese, and to compare with patients who underwent gastrojejunal bypass and the jejunal mucosa after the surgery. Methods: This is an observational study performed at a tertiary public hospital, evaluating endoscopic biopsies from 36 preoperative patients and 35 postoperative. Results: In the preoperative group, 80.6% had chronic gastritis, which was active in 38.9% (77.1% and 20.1%, respectively, in the postoperative). The postoperative group had a significant reduction in H. pylori infection (p=0.0001). A longer length of the gastric stump and a time since surgery of more than two years were associated with Helicobacter pylori infection. The jejunal mucosa was normal in 91.4% and showed slight nonspecific chronic inflammation in 8.6%. Conclusion: There was a reduction in the incidence of Helicobacter pylori infection in the postoperative group. A longer length of the gastric stump and longer time elapsed since surgery were associated with Helicobacter pylori infection. The jejunal mucosa was considered normal in an absolute majority of patients.
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