Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?

<p>Obesity is a risk for many different cancers. Laparoscopic sleeve gastrectomy (LSG) is common, and benign or pre-malignant histopathology types are reported in the removed gastric specimens. We assessed whether higher BMI was associated with certain benign or pre-malignant histopathological...

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Main Author: Tamer Saafan (14151819) (author)
Other Authors: Walid El Ansari (93732) (author), Moataz Bashah (14148867) (author)
Published: 2019
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author Tamer Saafan (14151819)
author2 Walid El Ansari (93732)
Moataz Bashah (14148867)
author2_role author
author
author_facet Tamer Saafan (14151819)
Walid El Ansari (93732)
Moataz Bashah (14148867)
author_role author
dc.creator.none.fl_str_mv Tamer Saafan (14151819)
Walid El Ansari (93732)
Moataz Bashah (14148867)
dc.date.none.fl_str_mv 2019-04-15T06:00:00Z
dc.identifier.none.fl_str_mv 10.1007/s11695-019-03801-y
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Compared_to_What_Is_BMI_Associated_with_Histopathological_Changes_in_Laparoscopic_Sleeve_Gastrectomy_Specimens_/21597594
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Medical biochemistry and metabolomics
Nutrition and dietetics
Nutrition and Dietetics
Endocrinology, Diabetes and Metabolism
Surgery
dc.title.none.fl_str_mv Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>Obesity is a risk for many different cancers. Laparoscopic sleeve gastrectomy (LSG) is common, and benign or pre-malignant histopathology types are reported in the removed gastric specimens. We assessed whether higher BMI was associated with certain benign or pre-malignant histopathological changes. Retrospective chart review of all primary LSG patients (N = 1555). Demographic, clinical, and LSG histopathology data were retrieved. BMI of patients with specific benign or pre-malignant conditions in their gastric specimens was compared with the BMI of the rest of the patients with abnormal histopathology specimens and also compared with the BMI of patients with normal control specimens. Females comprised 70% of the patients. Mean BMI were 46.3 (females) and 48 (males). Normal LSG specimens comprised 52%. Most common abnormal histopathologies were chronic inactive gastritis (33%), chronic active gastritis (6.8%), follicular gastritis (2.7%), lymphoid aggregates (2.2%), intestinal metaplasia (1.4%) and GIST (0.7%). After controlling for confounders (age, gender, H. pylori, diabetes mellitus type 2, hypertension), no significant association was observed between the BMI of patients with specific benign or pre-malignant histopathology compared with the BMI of the rest of the patients with abnormal histopathologies and compared to the BMI of patients with normal histopathologies. When confounders were taken into account, there appeared no significant associations between the BMI of patients with specific benign or pre-malignant histopathology compared with the BMI of the rest of the patients with abnormal histopathologies and compared to the BMI of patients with normal histopathologies of their gastric specimens. There was a very weak correlation between BMI and other covariates.</p><h2>Other Information</h2> <p> Published in: Obesity Surgery<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11695-019-03801-y" target="_blank">http://dx.doi.org/10.1007/s11695-019-03801-y</a></p>
eu_rights_str_mv openAccess
id Manara2_cb38e687df236d084b2148b72e80bd34
identifier_str_mv 10.1007/s11695-019-03801-y
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/21597594
publishDate 2019
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rights_invalid_str_mv CC BY 4.0
spelling Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?Tamer Saafan (14151819)Walid El Ansari (93732)Moataz Bashah (14148867)Biomedical and clinical sciencesMedical biochemistry and metabolomicsNutrition and dieteticsNutrition and DieteticsEndocrinology, Diabetes and MetabolismSurgery<p>Obesity is a risk for many different cancers. Laparoscopic sleeve gastrectomy (LSG) is common, and benign or pre-malignant histopathology types are reported in the removed gastric specimens. We assessed whether higher BMI was associated with certain benign or pre-malignant histopathological changes. Retrospective chart review of all primary LSG patients (N = 1555). Demographic, clinical, and LSG histopathology data were retrieved. BMI of patients with specific benign or pre-malignant conditions in their gastric specimens was compared with the BMI of the rest of the patients with abnormal histopathology specimens and also compared with the BMI of patients with normal control specimens. Females comprised 70% of the patients. Mean BMI were 46.3 (females) and 48 (males). Normal LSG specimens comprised 52%. Most common abnormal histopathologies were chronic inactive gastritis (33%), chronic active gastritis (6.8%), follicular gastritis (2.7%), lymphoid aggregates (2.2%), intestinal metaplasia (1.4%) and GIST (0.7%). After controlling for confounders (age, gender, H. pylori, diabetes mellitus type 2, hypertension), no significant association was observed between the BMI of patients with specific benign or pre-malignant histopathology compared with the BMI of the rest of the patients with abnormal histopathologies and compared to the BMI of patients with normal histopathologies. When confounders were taken into account, there appeared no significant associations between the BMI of patients with specific benign or pre-malignant histopathology compared with the BMI of the rest of the patients with abnormal histopathologies and compared to the BMI of patients with normal histopathologies of their gastric specimens. There was a very weak correlation between BMI and other covariates.</p><h2>Other Information</h2> <p> Published in: Obesity Surgery<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11695-019-03801-y" target="_blank">http://dx.doi.org/10.1007/s11695-019-03801-y</a></p>2019-04-15T06:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s11695-019-03801-yhttps://figshare.com/articles/journal_contribution/Compared_to_What_Is_BMI_Associated_with_Histopathological_Changes_in_Laparoscopic_Sleeve_Gastrectomy_Specimens_/21597594CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215975942019-04-15T06:00:00Z
spellingShingle Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?
Tamer Saafan (14151819)
Biomedical and clinical sciences
Medical biochemistry and metabolomics
Nutrition and dietetics
Nutrition and Dietetics
Endocrinology, Diabetes and Metabolism
Surgery
status_str publishedVersion
title Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?
title_full Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?
title_fullStr Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?
title_full_unstemmed Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?
title_short Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?
title_sort Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?
topic Biomedical and clinical sciences
Medical biochemistry and metabolomics
Nutrition and dietetics
Nutrition and Dietetics
Endocrinology, Diabetes and Metabolism
Surgery