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    Ayman M.A. Osman1 MD, MRCS (Eng), Ayman Salah Helmy1 MD, Hesham Abu Eisha1 MD, Wael L. Tobar1 MD, Abdel Kareem M. Abdel Kareem1 MB;BCh.
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    Amr Abdulbaky, Ahmed Elmahrouky, Hossam Anas, Hasan Soliman
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    Mahmoud Saber *, Wessam Wahdan**
  • Helicobacter Pylori Infection and Sleeve Gastrectomy Complications; are they Related? Local Centre Experience
    Hany A. Balamoun MD, FRCS1 , Hany M S Mikhail MD, FRCS1 , Bahaa Meleka MD2
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    Ahmed Nabil 1 and Rasha Abdelkader2
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    • Helicobacter Pylori Infection and Sleeve Gastrectomy Complications; are they Related? Local Centre Experience

    Hany A. Balamoun MD, FRCS1 , Hany M S Mikhail MD, FRCS1 , Bahaa Meleka MD2
    1Department of General Surgery, Faculty of Medicine, Cairo University, Egypt 2Department of Pathology, Faculty of Medicine, Cairo University, Egypt

    Background: Laparoscopic sleeve gastrectomy (LSG) has been increasingly considered a definitive surgical procedure for obesity because of its promising midterm data. Half of the world's population is infected with Helicobacter pylori (H. pylori), and this gram-negative bacterium is the major cause of gastric carcinogenesis and other gastric diseases. The aim of this study is to determine the prevalence of H. pylori infection and correlate it with the rate of postoperative complications patients undergoing LSG. Methods: A prospective randomized study was done on 100 of morbidly obese patients, who had LSG between January 2014 and July 2014, and had their intraoperative excised gastric tissue sent for histopathological assessment. Histopathology reports of the patients who underwent LSG were collected to detect the rate of H. pylori infection and if it's related to postoperative complications. Results: A total of 100 patients were enrolled. 45 patients (45%) were H. pylori positive, while 55 were negative (55%). Mean follow-up was 7.34 months. No intraoperative complications or conversion to open surgery were recorded. No mortality occurred in both groups. Mean operative time was 95.12, Mean hospital stay was 3 with no significant difference between the two groups. A total of 1 (1%) patient was found to have postoperative bleeding, which was in the H. pylori positive group. Conclusion: H. pylori infection seems to be not related to LSG complications, however longer term follow up and larger number of patients will be of value in future studies, to detect the complications in the gastric remnant after LSG. Keywords: Helicobacter Pylori; Sleeve gastrectomy. 

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