Evaluation of the incidence of the esophagogastric pre-cancerous mucosal lesions after bariatric surgery

Background: Bariatric surgery is associated with significant risk reduction for obesity-related and hormone-mediated cancers; however, few studies report gastric or esophageal cancer development after bariatric surgery. This study evaluates the incidence of pre-cancerous mucosal lesions one year aft...

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Main Authors: Behrooz Keleidari, Hamid Melali, Mohsen Mahmoudieh Dehkordi, Masoud Sayadi, Fatemeh Allahbakhshian Farsani, Mohammad Fakhrolmobasheri, Mahmood Mostafavi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=140;epage=140;aulast=Keleidari
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author Behrooz Keleidari
Hamid Melali
Mohsen Mahmoudieh Dehkordi
Masoud Sayadi
Fatemeh Allahbakhshian Farsani
Mohammad Fakhrolmobasheri
Mahmood Mostafavi
author_facet Behrooz Keleidari
Hamid Melali
Mohsen Mahmoudieh Dehkordi
Masoud Sayadi
Fatemeh Allahbakhshian Farsani
Mohammad Fakhrolmobasheri
Mahmood Mostafavi
author_sort Behrooz Keleidari
collection DOAJ
description Background: Bariatric surgery is associated with significant risk reduction for obesity-related and hormone-mediated cancers; however, few studies report gastric or esophageal cancer development after bariatric surgery. This study evaluates the incidence of pre-cancerous mucosal lesions one year after bariatric surgery. Materials and Methods: Eligible patients for omega-loop gastric bypass and classic Roux-en-Y gastric bypass (RYGB) underwent upper endoscopy before bariatric surgery and one year after the procedure. Several biopsies were obtained from esophagogastric mucosa, all of which were evaluated by pathologists regarding the development of any pre-cancerous lesion. Results: A total of 108 patients were included in the study. Seventy-one underwent omega bypass and 37 classic RYGB. Follow-up endoscopy indicated no dysplastic changes in esophagogastric mucosa one year after the surgery. The number of patients with gastric intestinal metaplasia was 22 and 25 before and after the surgery, respectively, which was not a statistically significant increase. Conclusion: Bariatric surgeries might not increase the risk of developing pre-cancerous lesions in the esophagogastric mucosa. Further epidemiological studies may help to establish this finding.
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spelling doaj.art-e3dc2ae2ee5d4ec6bcc57792122403ef2023-10-26T05:43:17ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752023-01-0112114014010.4103/abr.abr_148_22Evaluation of the incidence of the esophagogastric pre-cancerous mucosal lesions after bariatric surgeryBehrooz KeleidariHamid MelaliMohsen Mahmoudieh DehkordiMasoud SayadiFatemeh Allahbakhshian FarsaniMohammad FakhrolmobasheriMahmood MostafaviBackground: Bariatric surgery is associated with significant risk reduction for obesity-related and hormone-mediated cancers; however, few studies report gastric or esophageal cancer development after bariatric surgery. This study evaluates the incidence of pre-cancerous mucosal lesions one year after bariatric surgery. Materials and Methods: Eligible patients for omega-loop gastric bypass and classic Roux-en-Y gastric bypass (RYGB) underwent upper endoscopy before bariatric surgery and one year after the procedure. Several biopsies were obtained from esophagogastric mucosa, all of which were evaluated by pathologists regarding the development of any pre-cancerous lesion. Results: A total of 108 patients were included in the study. Seventy-one underwent omega bypass and 37 classic RYGB. Follow-up endoscopy indicated no dysplastic changes in esophagogastric mucosa one year after the surgery. The number of patients with gastric intestinal metaplasia was 22 and 25 before and after the surgery, respectively, which was not a statistically significant increase. Conclusion: Bariatric surgeries might not increase the risk of developing pre-cancerous lesions in the esophagogastric mucosa. Further epidemiological studies may help to establish this finding.http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=140;epage=140;aulast=Keleidaribariatric surgeryobesitystomach neoplasms
spellingShingle Behrooz Keleidari
Hamid Melali
Mohsen Mahmoudieh Dehkordi
Masoud Sayadi
Fatemeh Allahbakhshian Farsani
Mohammad Fakhrolmobasheri
Mahmood Mostafavi
Evaluation of the incidence of the esophagogastric pre-cancerous mucosal lesions after bariatric surgery
Advanced Biomedical Research
bariatric surgery
obesity
stomach neoplasms
title Evaluation of the incidence of the esophagogastric pre-cancerous mucosal lesions after bariatric surgery
title_full Evaluation of the incidence of the esophagogastric pre-cancerous mucosal lesions after bariatric surgery
title_fullStr Evaluation of the incidence of the esophagogastric pre-cancerous mucosal lesions after bariatric surgery
title_full_unstemmed Evaluation of the incidence of the esophagogastric pre-cancerous mucosal lesions after bariatric surgery
title_short Evaluation of the incidence of the esophagogastric pre-cancerous mucosal lesions after bariatric surgery
title_sort evaluation of the incidence of the esophagogastric pre cancerous mucosal lesions after bariatric surgery
topic bariatric surgery
obesity
stomach neoplasms
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=140;epage=140;aulast=Keleidari
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