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    Sleeve Gastrectomy Pathologies: A Single-Center Retrospective Analysis
    (Yuzuncu Yil Universitesi Tip Fakultesi, 2023) Pekşen, Ç.; Sumer, A.
    Sleeve Gastrectomy (SG) has emerged as a prominent surgical approach in the battle against obesity, gaining widespread recognition for its effectiveness in promoting significant weight loss and improving metabolic health. However, despite its increasing popularity, the impact of SG on the histological and pathological characteristics of the gastrointestinal tract remains a subject of intensive research. This retrospective study, conducted at Istinye University, aimed to investigate the pathological outcomes of 530 SG procedures performed between June 1, 2022, and 2023. The study included demographic information, comorbidities, operative details, and both endoscopic and pathological findings. Our analysis uncovered notable trends in post-SG endoscopic and pathological findings. Gastritis was observed in a significant portion of patients, where 65.4% exhibited endoscopic gastritis and 70.8% showed pathologi cal gastritis. H. pylori infection, a known factor in gastritis development, was detected in 27.9% endoscopically and 35.6% pathologically. Further investigation is warranted to explore the disparities between endoscopic and pathological detection rates an d assess diagnostic accuracy. The presence of comorbidities showed a significant association with gastritis (p < 0.05), underscoring the potential interplay between systemic health conditions and gastric pathologies following SG. No significant relationshi p was found between gender and pathological findings. This study offers valuable insights into the pathological outcomes of SG and emphasizes the importance of postoperative monitoring and the management of gastric health. Routine endoscopy remains a funda mental component of postoperative care for bariatric surgery patients, contributing significantly to their long-term well-being and optimizing surgical outcomes. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.