Gastric and jejunal histopathological changes in patients undergoing bariatric surgery.

作者: Rosemary Simões Nomelini RODRIGUES , Élia Cláudia de Souza ALMEIDA , Júverson Alves TERRA JÚNIOR , Lucinda Calheiros GUIMARÃES , Ana Cristina da Rocha DUQUE

DOI: 10.1590/S0004-2803.2017V54N1-15

关键词: ObesityIn patientChronic gastritisGastroenterologyEndoscopySurgeryJejunal mucosaIncidence (epidemiology)Internal medicineMultifactorial diseaseGastric stumpMedicine

摘要: Background - Morbid obesity is a multifactorial disease that increasingly treated by surgery. Objective To evaluate gastric histopathological changes in obese, and to compare with patients who underwent gastrojejunal bypass the jejunal mucosa after Methods This an observational study performed at tertiary public hospital, evaluating endoscopic biopsies from 36 preoperative 35 postoperative. Results In group, 80.6% had chronic gastritis, which was active 38.9% (77.1% 20.1%, respectively, postoperative). The postoperative group significant reduction Helicobacter pylori infection (P=0.0001). A longer length of stump time since surgery more than two years were associated infection. normal 91.4% showed slight nonspecific inflammation 8.6%. Conclusion There incidence group. elapsed considered absolute majority patients.

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