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Erschienen in: Obesity Surgery 12/2015

01.12.2015 | Original Contributions

Outcomes in Patients with Helicobacter pylori Undergoing Laparoscopic Sleeve Gastrectomy

verfasst von: Andrew R. Brownlee, Erica Bromberg, Mitchell S. Roslin

Erschienen in: Obesity Surgery | Ausgabe 12/2015

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Abstract

Background

In vertical sleeve gastrectomy (VSG), the majority of the stomach is resected and much of the tissue colonized with Helicobacter pylori and the bulk of acid producing cells are removed. In addition, the effect of H. pylori colonization of the stomach of patients undergoing stapling procedures is unclear. As a result, the need for detection and treatment of H. pylori in patients undergoing VSG is unknown.

Methods

Four hundred and eighty patients undergoing VSG are the subject of this study. Three surgeons at a single institution performed the procedures. The remnant stomach was sent to pathology and tested for the presence of H. pylori using immunohistochemistry. All patients were discharged on proton pump inhibitors.

Results

Of the 480 patients who underwent VSG, 52 were found to be H. pylori positive based on pathology. There was no statistically significant difference in age (p = 0.77), sex (p = 0.48), or BMI (p = 0.39) between the groups. There were 17 readmissions post-op. Five of these were in the H. pylori positive cohort. Six of these complications were classified as severe (anastomotic leak, intra-abdominal collection, or abscess), with two in the H. pylori positive cohort (Table 1). There was no statistically significant difference in the severe complication rates between the two groups (p = 0.67). There were no readmissions for gastric or duodenal ulceration or perforation.

Conclusions

Our data suggests that there is no increase in early complications in patients with H. pylori undergoing VSG. If these findings are confirmed in a long-term follow-up, it would mean that preoperative H. pylori screening in patients scheduled for VSG is not necessary.
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Metadaten
Titel
Outcomes in Patients with Helicobacter pylori Undergoing Laparoscopic Sleeve Gastrectomy
verfasst von
Andrew R. Brownlee
Erica Bromberg
Mitchell S. Roslin
Publikationsdatum
01.12.2015
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 12/2015
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1687-6

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