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    Öğe
    Association of Histopathology and Hemogram Findings Following Sleeve Gastrectomy
    (Mary Ann Liebert, Inc, 2019) Eroglu, Huseyin Avni; Adali, Yasemen; Beseren, Hatice; Guvendi, Gulname Findik; Binnetoglu, Kenan
    Objectives: This study aimed to evaluate the effects of histopathological findings observed in removed gastric tissues on the preoperative and postoperative hemogram data. Materials and Methods: Sixty patients with sleeve gastrectomy were included in the study. Histopathologic findings were compared with the hemogram values. Results: Preoperative hemoglobin (HGB) and hematocrit (HCT) values were significantly lower in patients with intestinal metaplasia (IM) compared to those without IM (p values 0.033 and 0.036, respectively). Preoperative red blood cell (RBC) and HCT values were significantly lower in women with Helicobacter pylori compared with those without H. pylori (p values 0.031 and 0.032, respectively). In contrast, in men with H. pylori, the preoperative RBC, HGB, and HCT values were significantly higher than those without H. pylori (p values 0.007, 0.031, and 0.027, respectively). Conclusion: We found that IM and presence of H. pylori had effects on hemogram values. We suggest that preoperative H. pylori assessment can yield use in the evaluation of postoperative anemia.
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    Öğe
    Sleeve Gastrektomilerde Histopatolojik Bulgularımız: 63 Vakanın Analizi
    (E-Journal of New World Sciences Academy, 2019) Adalı, Yasemen; Toyran, Tuğba; Eroğlu, Hüseyin Avni; Binnetoglu, Kenan; Akkan, Selda Aksu; Güvendi, Bülent; Güvendi, Gülname Fındık
    Sleeve gastrektomi gelişmiş ve gelişmekte olan ülkelerde önemli bir sağlık sorunu olan obezite tedavisinde kullanılan cerrahi yöntemlerden biridir. Biz çalışmamızda morbid obezite nedeni ile yapılan sleeve gastrektomi materyallerindeki histopatolojik bulguları ortaya koymayı amaçladık. Çalışmaya 2013-2017 haziran ayları arasında üniversitemiz genel cerrahi kliniğinde sleeve gastrektomi operasyonu yapılan 63 morbid obez olgu dahil edildi. Olgular gastrit, intestinal metaplazi, Helicobacter pylori, atrofi ve diğer histopatolojik bulgular açısından 3 farklı patolog tarafından tekrar değerlendirildi. Çalışmaya dahil edilen olguların %71.4'ü kadın, %28.6 erkek olup yaş ortalamaları 35.37+9.429 saptandı. Olguların %77.8'inde kronik gastrit, %22.2'sinde aktif kronik gastrit gözlendi. İntestinal metaplazi %23.8 olguda, Helicobacter pylori varlığı %93.7 olguda ve atrofi varlığı %4.8 olguda izlendi. Çalışmamızda tüm vakalarda kronik veya aktif kronik gastrit izlenmesi yanı sıra Helicobacter pylori varlığı literatürde bildirilenden daha yüksek bir oranda saptanmıştır. 
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    Öğe
    The Relationship Between Histopathologic Findings and Body Mass Index in Sleeve Gastrectomy Materials
    (Springer, 2019) Adali, Yasemen; Binnetoglu, Kenan; Eroglu, Huseyin Avni; Kaya, Nilhan; Guvendi, Gulname Findik
    ObjectiveFor treatment of obesity, which is one of the important health problems of the present time, lifestyle modification, pharmacotherapy, behavioral treatment methods, and surgical procedures are commonly used. Sleeve gastrectomy is widely used among surgical procedures. We aimed to investigate the relationship between histopathologic findings and body mass indices (BMIs) of cases with sleeve gastrectomy in our study.MethodsThirty-seven patients were included in our study who underwent sleeve gastrectomy and whose operation materials were examined histopathologically in our hospital. Two pathologists re-evaluated all gastrectomy materials. The relationship between BMI and the presence of gastritis, atrophy, intestinal metaplasia (IM), Helicobacter pylori (HPL), and other histopathological findings was investigated.ResultsThe mean age of patients included in the study was 34.7+9.3years. Of patients, 70.3% were female and 29.7% were male. There was a statistically significant difference between BMI and IM among the evaluated histopathologic parameters. Moreover, IM was significantly more present in patients with type 2 diabetes.ConclusionsThere is no previous study investigating the relationship between gastric histopathological findings and BMI in sleeve gastrectomy patients. We think that the statistically significant difference between BMI and IM that we found in our study may shed light on studies to be performed in the future.