Abstract
Introduction
Laparoscopic single anastomosis gastric bypass (SAGB) is increasingly performed for morbidly obese patients.
Aim of Work
This pilot study aims primarily at evaluating the incidence of bile gastritis after SAGB. The occurrence of reflux oesophagitis and reflux symptoms were also assessed.
Patients and Methods
This study included 20 patients having no reflux symptoms. All patients underwent a SAGB as a primary bariatric procedure by a single surgeon. Patients included consented to have an upper GI endoscopy done at 6 months postoperatively. Gastric aspirate was sent for bilirubin level assessment. Gastric and esophageal biopsies were submitted for histopathology and campylobacter-like organism (CLO) test.
Results
In our study, the rate of bile gastritis was 30%. In 18 patients, the level of bilirubin in gastric aspirate seems to be related to the degree of mucosal inflammation. The remaining two patients had microscopic moderate to severe gastritis with normal aspirate bilirubin level. Two patients with bilirubin level in aspirate more than 20 mg/dl had severe oesophagitis, gastritis with erosions, and metaplasia. Relationship between bilirubin level and histopathological findings of gastric biopsy examination was statistically significant with a P value of 0.001.
Conclusion
The incidence of bile gastritis in this cohort is higher than reported in the literature, and this may be worrying. The correlation between endoscopic findings and patients’ symptoms is poor. Bilirubin level and pH in aspirate might be useful tools to confirm alkaline reflux. Its level might help to choose candidates for revision surgery after SAGB. This needs further validation with larger sample size.
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Ethical Approval Statement
The pilot study “Bile Gastritis following laparoscopic single anastomosis gastric bypass” has obtained ethical committee approval in March 2015 before starting to recruit patients. Ethical committee approval is a must before the start of any research project in Cairo University Hospitals.
Statement of Informed Consent
Informed consent was obtained from all individual participants included in the study.
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Shenouda, M.M., Harb, S.E., Mikhail, S.A.A. et al. Bile Gastritis Following Laparoscopic Single Anastomosis Gastric Bypass: Pilot Study to Assess Significance of Bilirubin Level in Gastric Aspirate. OBES SURG 28, 389–395 (2018). https://doi.org/10.1007/s11695-017-2885-1
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DOI: https://doi.org/10.1007/s11695-017-2885-1