Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature review
BACKGROUND: Data are lacking on trends in bariatric surgery and the frequency of incidental findings in Saudi Arabia. OBJECTIVE: Report on trends in bariatric surgery as well as our experience in incidental findings along with a literature review (mainly on gastrointestinal stromal tumor). DESIGN: R...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
King Faisal Specialist Hospital and Research Centre
2020-10-01
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| Series: | Annals of Saudi Medicine |
| Online Access: | https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2020.389 |
| _version_ | 1819045220744953856 |
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| author | Mohammed Nabil AlAli Fahad Bamehriz Hassan Arishi Mohammed K. Aldeghaither Fahad Alabdullatif Khalid A. Alnaeem Abdulrahman F. Alzamil Ibrahim R. AlHashim Sarah Alhaizan Tarek Aljuhani Abdullah Aldohayan |
| author_facet | Mohammed Nabil AlAli Fahad Bamehriz Hassan Arishi Mohammed K. Aldeghaither Fahad Alabdullatif Khalid A. Alnaeem Abdulrahman F. Alzamil Ibrahim R. AlHashim Sarah Alhaizan Tarek Aljuhani Abdullah Aldohayan |
| author_sort | Mohammed Nabil AlAli |
| collection | DOAJ |
| description | BACKGROUND: Data are lacking on trends in bariatric surgery and the frequency of incidental findings in Saudi Arabia. OBJECTIVE: Report on trends in bariatric surgery as well as our experience in incidental findings along with a literature review (mainly on gastrointestinal stromal tumor). DESIGN: Retrospective chart and literature review. SETTINGS: Academic tertiary care center. PATIENTS AND METHODS: We conducted a retrospective study at King Khalid University Hospital and analyzed the data collected from 2009 to 2019. We collected data on age, body mass index (BMI), H pylori infection, type of bariatric surgery performed, and type and location of incidental findings. MAIN OUTCOME MEASURES: Incidental findings during or after bariatric surgery (in pathology specimen). SAMPLE SIZE: 3052 bariatric surgeries, 46 patients with incidentalomas. RESULTS: The mean and standard deviation for the age of the 46 patients with incidentalomas was 42.1 (13.9) years and the mean (SD) preoperative BMI was 43.4 (6.4) kg/m2. Of 3052 bariatric surgeries performed, the most common type was sleeve gastrectomy (93.9%), followed by gastric bypass surgery (4.58%) and gastric banding (1.47%). The total frequency of incidentalomas was 1.5%; 10.8% of patients had gastrointestinal stromal tumors (GIST), with the stomach being the commonest site for incidental findings. Eighty percent of the patients with GIST were positive for H pylori (P=.01 vs negative patients). CONCLUSION: The number of incidentalomas and other findings were consistent with other reports. All these findings suggest that bariatric surgeons should take special care before, during, and after a laparoscopic operation in obese patients. LIMITATIONS: Since this is a single-center, retrospective study, we did not collect data on important variables such as gender, socioeconomic status of the patient, and family history of obesity, and we did not perform a preoperative esophagogastroduodenoscopy. CONFLICT OF INTEREST: None. |
| first_indexed | 2024-12-21T10:25:07Z |
| format | Article |
| id | doaj.art-a3ca331ec59d406d82b8cb76ed166d2b |
| institution | Directory Open Access Journal |
| issn | 0256-4947 0975-4466 |
| language | English |
| last_indexed | 2024-12-21T10:25:07Z |
| publishDate | 2020-10-01 |
| publisher | King Faisal Specialist Hospital and Research Centre |
| record_format | Article |
| series | Annals of Saudi Medicine |
| spelling | doaj.art-a3ca331ec59d406d82b8cb76ed166d2b2022-12-21T19:07:20ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662020-10-0140538939510.5144/0256-4947.2020.3890256-4947.2020.389Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature reviewMohammed Nabil AlAli0Fahad Bamehriz1Hassan Arishi2Mohammed K. Aldeghaither3Fahad Alabdullatif4Khalid A. Alnaeem5Abdulrahman F. Alzamil6Ibrahim R. AlHashim7Sarah Alhaizan8Tarek Aljuhani9Abdullah Aldohayan10From the Department of General Surgery, King Khalid University Hospital, Riyadh, Saudi ArabiaFrom the Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaFrom the Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi ArabiaFrom the College of Medicine, King Saud University, Riyadh, Saudi ArabiaFrom the College of Medicine, King Saud University, Riyadh, Saudi ArabiaFrom the College of Medicine, King Saud University, Riyadh, Saudi ArabiaFrom the College of Medicine, King Saud University, Riyadh, Saudi ArabiaFrom the College of Medicine, King Faisal University, Al-Hasa, Eastern Province, Saudi ArabiaFrom the Department of General Surgery, King Khalid University Hospital, Riyadh, Saudi ArabiaFrom the Department of Pathology, King Khalid University Hospital, Riyadh, Saudi ArabiaFrom the College of Medicine, King Saud University, Riyadh, Saudi ArabiaBACKGROUND: Data are lacking on trends in bariatric surgery and the frequency of incidental findings in Saudi Arabia. OBJECTIVE: Report on trends in bariatric surgery as well as our experience in incidental findings along with a literature review (mainly on gastrointestinal stromal tumor). DESIGN: Retrospective chart and literature review. SETTINGS: Academic tertiary care center. PATIENTS AND METHODS: We conducted a retrospective study at King Khalid University Hospital and analyzed the data collected from 2009 to 2019. We collected data on age, body mass index (BMI), H pylori infection, type of bariatric surgery performed, and type and location of incidental findings. MAIN OUTCOME MEASURES: Incidental findings during or after bariatric surgery (in pathology specimen). SAMPLE SIZE: 3052 bariatric surgeries, 46 patients with incidentalomas. RESULTS: The mean and standard deviation for the age of the 46 patients with incidentalomas was 42.1 (13.9) years and the mean (SD) preoperative BMI was 43.4 (6.4) kg/m2. Of 3052 bariatric surgeries performed, the most common type was sleeve gastrectomy (93.9%), followed by gastric bypass surgery (4.58%) and gastric banding (1.47%). The total frequency of incidentalomas was 1.5%; 10.8% of patients had gastrointestinal stromal tumors (GIST), with the stomach being the commonest site for incidental findings. Eighty percent of the patients with GIST were positive for H pylori (P=.01 vs negative patients). CONCLUSION: The number of incidentalomas and other findings were consistent with other reports. All these findings suggest that bariatric surgeons should take special care before, during, and after a laparoscopic operation in obese patients. LIMITATIONS: Since this is a single-center, retrospective study, we did not collect data on important variables such as gender, socioeconomic status of the patient, and family history of obesity, and we did not perform a preoperative esophagogastroduodenoscopy. CONFLICT OF INTEREST: None.https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2020.389 |
| spellingShingle | Mohammed Nabil AlAli Fahad Bamehriz Hassan Arishi Mohammed K. Aldeghaither Fahad Alabdullatif Khalid A. Alnaeem Abdulrahman F. Alzamil Ibrahim R. AlHashim Sarah Alhaizan Tarek Aljuhani Abdullah Aldohayan Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature review Annals of Saudi Medicine |
| title | Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature review |
| title_full | Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature review |
| title_fullStr | Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature review |
| title_full_unstemmed | Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature review |
| title_short | Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature review |
| title_sort | trends in bariatric surgery and incidentalomas at a single institution in saudi arabia a retrospective study and literature review |
| url | https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2020.389 |
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