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Helicobacter pylori Does not Affect Postoperative Outcomes After Sleeve Gastrectomy

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Abstract

Background

The effect of Helicobacter pylori (HP) colonization of the stomach of patients undergoing laparoscopic sleeve gastrectomy (LSG) is unclear.

Objective

The objective of this study is to evaluate the effect of HP colonization on postoperative outcomes of LSG.

Setting

The setting of this study is in University Hospital.

Methods

This study was a retrospective cohort study of prospectively maintained database of all patients who underwent LSG at Jordan University Hospital from 2008 to 2015.

Results

Five hundred patients were included (362 females and 138 males). The mean preoperative weight was 124.5 ± 23.8 kg. The mean preoperative body mass index (BMI) was 45.5 ± 6.9 kg/m2. Two hundred sixteen (43.2%) patients were found to be HP positive. The differences between the HP positive and negative groups in respect of sex, baseline weight, and BMI were not statistically significant. However, patients who were HP positive were significantly older. All patients were followed for at least 3 months. We had an overall complication rate of 2.6%. Differences in the complication rate between the two groups were not statistically significant. Follow-up was 61% at 1 year. The mean percent total weight loss (%TWL) was 32.9 ± 7.9, and the mean percent excess weight loss (%EWL) was 76.9 ± 21.1. The decrease in BMI was 15.2 ± 5.2. The difference between the two groups was not statistically significant.

Conclusion

There is no clear association between HP infection at the time of surgery and postoperative complications, especially leaks.

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Authors and Affiliations

  1. Department of General Surgery, Faculty of Medicine, University of Jordan, Queen Rania Str, P.O Box 13046, Amman, 11942, Jordan

    Hiba Shanti, Neyaf Almajali, Tamador Al-Shamaileh, Ayman Mismar & Firas Obeidat

  2. Department of Anesthesia, Faculty of Medicine, University of Jordan, Amman, Jordan

    Walid Samarah

Authors
  1. Hiba Shanti
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  2. Neyaf Almajali
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  3. Tamador Al-Shamaileh
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  4. Walid Samarah
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  5. Ayman Mismar
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  6. Firas Obeidat
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Corresponding author

Correspondence to Hiba Shanti.

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Conflict of Interest Statement

All authors declare that they have no conflicts of interest.

Statement of Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Shanti, H., Almajali, N., Al-Shamaileh, T. et al. Helicobacter pylori Does not Affect Postoperative Outcomes After Sleeve Gastrectomy. OBES SURG 27, 1298–1301 (2017). https://doi.org/10.1007/s11695-016-2470-z

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  • DOI: https://doi.org/10.1007/s11695-016-2470-z

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