Bariatric Surgical Practice and Patient Care, cilt.14, sa.4, ss.146-149, 2019 (SCI-Expanded, SSCI, Scopus)
Trial design: The Sydney system for the classification of gastritis emphasized the importance of combining topographical, morphological, and etiological information from gastric biopsy materials that would help to generate reproducible and clinically useful diagnoses. There is no study that controls the Sydney classification system results of biopsy specimens to gastrectomy materials in benign pathologies such as sleeve gastrectomy. In our study, we aimed to compare the results of the Sydney classification in preoperative biopsy and surgical resection. Methods: Pathology results were analyzed retrospectively. Biopsy results and postoperative resection materials were evaluated according to Sydney classification. Results: A total of 996 patients with laparoscopic sleeve gastrectomy were included in the study. There were statistically significant differences between chronic inflammation, intestinal metaplasia, and activity (p = 0.001, p = 0.014, and p = 0.03), whereas there were no differences for Helicobacter pylori and atrophy (p = 0.544, p = 0.208) in biopsy and postoperative results. Conclusion: The Sydney system works in biopsy materials for H. pylori and atrophy; however, the results for chronic inflammation, intestinal metaplasia, and activity were not correlated in biopsy and gastrectomy materials.