Search

Introduction: The incidence of bariatric procedures is on the rise, primarily driven by the escalating prevalence of obesity. Among these procedures, laparoscopic sleeve gastrectomy (LSG) has gained significant popularity. However, ongoing debates persist regarding the necessity of microscopic examination of postoperative pathology specimens for certain benign conditions, including those related to bariatric surgery, due to financial concerns. In our retrospective study, we aimed to investigate the adequacy of macroscopic evaluation of pathology specimens obtained from patients who underwent bariatric surgery and to identify any unforeseen pathologies that may be detected through microscopic evaluation. Materials and Methods: Demographic and pathological data of patients who underwent surgical intervention for morbid obesity at our clinic from May 2017 to December 2021 were retrieved from the patient database. Following the macroscopic assessment of LSG specimens, the surgeon identified suspicious lesions, prompting further microscopic evaluation by pathologists. A p-value of less than 0.05 was considered statistically significant. Results: A total of 225 patients and corresponding specimens were included in the study. The majority of patients were female (82.2%). The median age of the patients was 36 (range: 19-61) years, and the mean preoperative body mass index (BMI) was 42.6±4.21 kg/m². Macroscopic examinations revealed pathological suspicions in 21 cases (9.3%), and subsequent microscopic evaluations confirmed pathology in 20 of these cases (p<0.001). Notably, microscopic evaluation of all specimens identified pathology in 175 patients (77.8%). Conclusion: Based on our findings, we conclude that relying solely on macroscopic examination of LSG specimens is inadequate for detecting lesions. Therefore, we strongly advocate for the inclusion of microscopic evaluation, particularly due to its importance in detecting premalignant lesions. We recommend that microscopic assessment be routinely performed to ensure comprehensive pathological evaluation in LSG specimens. [ABSTRACT FROM AUTHOR]

Nowadays, Obesity surgery performed with increasing frequency. Some problems developed after these surgeries. Changes in the skin due to weight loss, vitamin, and element deficiencies are problems. In this study, we aimed to discuss how the skin changes that occur after the surgery affect the patients and their satisfaction. Questionnaire forms were prepared to evaluate the changes in the skin who underwent bariatric surgery in the General Surgery clinic, We were recorded by questioning one year before and one year after the surgery. Their satisfaction with the skin changes before and after the surgery was evaluated. A total of 51 patients, eight men (15.7%) and fourty three (84.3%) women, included in the study. The mean age of the patients was 32.8 years. The preoperative mean body weight of the patients was 119.7 kg. The mean follow-up time was 15.4 months. During this follow-up period, the mean postoperative body weight of the patients was 82.8. While the rate of those who were satisfied with the changes in their skin during this period was 78.4 on average, the rate of those who were not satisfied was 21.6 on average. Most of the patients included in the study stated that they had skin problems related to obesity on their skin. Despite this, patients stated that the changes in their skin after bariatric surgery were better than before the surgery. [ABSTRACT FROM AUTHOR]

Objective: Obesity is defined as abnormal or excessive fat accumulation in the body to the extent that it impairs health in humans. It is a common health problem that is increasing in severity. Laparoscopic sleeve gastrectomy (LSG) is a preferred method because of satisfactory weight loss, resolution of comorbidities and performance safety. The increase in surgery has brought along the postoperative problems. New conditions related to bariatric surgery can be observed in all areas of life. Methods: After obtaining the necessary permission from the local clinical research ethics committee, patients who had bariatric surgery in our hospital between January 2018 and December 2021 were asked to respond by sending a mini-questionnaire about their application to the emergency department after surgery. Eighty patients who agreed to answer the questions were included in the study. Questions were asked and the results were evaluated. In addition, none of the patients who applied to the hospital were admitted to the hospital. Results: 53. 38% of the patients who applied to the hospital came with stomach spasm and vomiting. Among the 80 patients, 18.8% were admitted to the hospital again after surgery. After the operation, 53.3% of the patients applied to the hospital within the first three months, 26.6% within the 4th and 6th months, and 20.1% after the 10th month. Conclusion: General practitioners and emergency specialists should master the management algorithm of these patients. If there is the slightest doubt, obese patients should be consulted, if possible, from a surgeon experienced in bariatrics or a general surgeon. [ABSTRACT FROM AUTHOR]

In this study, we aimed to evaluate the approach to patients who applied to our clinic due to isolated rectal injury. Patients treated for isolated rectal injury in our clinic between January 2017 and December-2021 were retrospectively reviewed. Ten patients were examined and 7 patients were included in the scope of the evaluation. The patients were evaluated under the headings such as age, gender, injury site and whether or not diversion was performed. All patients were male and the mean age was 26.5±9.46 years. There were middle rectal injuries in two patients, upper rectal injuries in one patient, and lower rectal injuries in four patients. Except for one patient with lower rectal injury and no rectal contamination, the other six patients underwent diversion. One patient who underwent transanal repair was followed up with tomography in the postoperative period. Rectal injuries are high-risk injuries due to their neighborhood in the pelvic region. Intestinal diversion is a serious option to prevent pelvic sepsis. It should not be forgotten that transanal primary repair can also be performed after the location of the injury is determined and the perirectal area is cleaned. [ABSTRACT FROM AUTHOR]

Copyright of Van Tip Dergisi is the property of Yuzuncu Yil University, Faculty of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)