Chronic Abdominal Pain Prevalence in Patients Undergoing the Bariatric Surgery With Positive History of H. pylori
-
Amin Dalili
,
Nasrin Kamali
,
Ali Jangjo
,
Mostafa Sadeghi
,
Fatemeh Kiyani Far
,
Sara Mohammadi
,
Masoud Mahdavi Zafarghandi
Abstract
Obesity/bariatric surgery is rising as the most effective treatment for obesity. In previous studies, the history of Helicobacter pylori as the main cause of chronic abdominal pain in patients undergoing bariatric surgery has not been discussed. In this study, we determine in a set of patients how much of the number of people with positive H. pylori before the operation in one year later suffered from chronic abdominal pain. A retrospective study was conducted on 320 patients undergoing bariatric surgery. Data were collected by interviewing and referring to the medical records of patients. Of 320 patients, 125 were H. pylori-positive, and from these numbers, 43 had chronic abdominal pain (34.4%). Although in previous studies of bariatric surgery, the history of H. pylori has not been identified as the main cause of chronic abdominal pain after surgery. However, according to the available evidence in this study, with a prevalence of more than one-third of chronic abdominal pain in one year after surgery in patients with a history of preoperative H. pylori, pylori can be a potential cause of postoperative chronic pain.
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7. Ryou M, Mogabgab O, Lautz DB, Thompson CC. Endoscopic foreign body removal for treatment of chronic abdominal pain in patients after Roux-en-Y gastric bypass. Surg Obes Relat Dis 2010;6:526-31.
8. Morgan DJ, Ho KM, Armstrong J, Litton E. Long-term clinical outcomes and health care utilization after bariatric surgery: a population-based study. Ann Surg 2015;262:86-92.
9. Pitt T, Brethauer S, Sherman V, Udomsawaengsup S, Metz M, Chikunguwo S, et al. Diagnostic laparoscopy for chronic abdominal pain after gastric bypass. Surg Obes Relat Dis 2008;4:394-8.
10. Greenstein AJ, O'Rourke RW. Abdominal pain after gastric bypass: suspects and solutions. Am J Surg 2011;201:819-27.
11. Høgestøl IK, Chahal-Kummen M, Eribe I, Brunborg C, Stubhaug A, Hewitt S, et al. Chronic abdominal pain and symptoms 5 years after gastric bypass for morbid obesity. Obes Surg 2017;27:1438-45.
12. Swartz DE, Mobley E, Felix EL. Bile reflux after Roux-en-Y gastric bypass: an unrecognized cause of postoperative pain. Surg Obes Relat Dis 2009;5:27-30.
13. Aftab H, Risstad H, Søvik TT, Bernklev PD, Hewitt S, Kristinsson JA, et al. Five-year outcome after gastric bypass for morbid obesity in a Norwegian cohort. Surg Obes Relat Dis 2014;10:71-8.
14. Carabotti M, D’Ercole C, Iossa A, Corazziari E, Silecchia G, Severi C. Helicobacter pylori infection in obesity and its clinical outcome after bariatric surgery. World J Gastroenterol 2014;20:647-53.
15. Chaves LC, Borges IK, Souza MD, Silva IP, Silva LB,
Magalhes MA, et al. Inflammatory disorders associated with helicobacter pylori in the Roux-en-Y bypass gastric pouch. Arq Bras Cir Dig 2016;29: 31-4.
16. Rawlins L, Rawlins MP, Brown CC, Schumacher DL. Effect of Helicobacter pylori on marginal ulcer and stomal stenosis after Roux-en-Y gastric bypass. Surg Obes Relat Dis 2013;9:760-4.
17. Franklin AL, Koeck ES, Hamrick MC, Qureshi FG, Nadler EP. Prevalence of chronic gastritis or Helicobacter pylori infection in adolescent sleeve gastrectomy patients does not correlate with symptoms or surgical outcomes. Surg Infect (Larchmt) 2015;16:401-4.
18. Brownlee AR, Bromberg E, Roslin MS. Outcomes in patients with Helicobacter pylori undergoing laparoscopic sleeve gastrectomy. Obes Surg 2015;25:2276-9.
19. Lewis KD, Takenaka KY, Luber SD. Acute abdominal pain in the bariatric surgery patient. Emerg Med Clin North Am 2016;34:387-407.
20. Shanti H, Almajali N, Al-Shamaileh T, Samarah W, Mismar A, Obeidat F. Helicobacter pylori does not affect postoperative outcomes after sleeve gastrectomy. Obes Surg 2017;27:1298-301.
21. Nguyen DM, El-Serag HB. The epidemiology of obesity. Gastroenterol Clin North Am 2010;39:1-7.
22. Cho M, Kaidar-Person O, Szomstein S, Rosenthal RJ. Emergency room visits after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Obes Relat Dis 2008;4:104-9.
23. Kelly JJ, Perugini RA, Wang QL, Czerniach DR, Flahive J, Cohen PA. The presence of Helicobacter pylori is not associated with long-term anastomotic complications in gastric bypass patients. Surg Endosc 2015;29:2885-90.
24. Hartwig M, Allvin R, Bäckström R, Stenberg E. Factors associated with increased experience of postoperative pain after laparoscopic gastric bypass surgery. Obes Surg 2017;27:1854-8.
2. Verma S, Sharma D, Kanwar P, Sohn W, Mohanty SR, Tortolani AJ, et al. Prevalence of Helicobacter pylori infection in bariatric patients: a histologic assessment. Surg Obes Relat Dis 2013;9:679-85.
3. Andersson DP, Eriksson-Hogling D, Bäckdahl J, Thorell A, Löfgren P, Rydén M, et al. Omentectomy in addition to bariatric surgery—a 5-year follow-up. Obes Surg 2017;27:1115-8.
4. Rodrigues RS, Almeida ÉC, Camilo SM, Terra-Junior JA, Guimaraes LC, Duque AC, et al. Gastric and Jejunal Histopathological Changes in Patients Undergoing Bariatric Surgery. Arq Bras Cir Dig 2016;29:35-8.
5. Assef MS, Melo TT, Araki O, Marioni F. Evaluation of upper gastrointestinal endoscopy in patients undergoing bariatric surgery. ABCD. Arq Bras Cir Dig 2015;28:39-42.
6. Cuesta Hernández M, Pérez Peña C, Matía Martín P,Cabrerizo García L, Pérez-Ferre N, Sánchez-Pernaute A, et al. Helicobacter Pylori (HP) infection in obese patients undergoing Roux-en-Y gastric bypass; efficacy of two different treatment regimens in HP eradication. Nutr Hosp 2015;32:600-5.
7. Ryou M, Mogabgab O, Lautz DB, Thompson CC. Endoscopic foreign body removal for treatment of chronic abdominal pain in patients after Roux-en-Y gastric bypass. Surg Obes Relat Dis 2010;6:526-31.
8. Morgan DJ, Ho KM, Armstrong J, Litton E. Long-term clinical outcomes and health care utilization after bariatric surgery: a population-based study. Ann Surg 2015;262:86-92.
9. Pitt T, Brethauer S, Sherman V, Udomsawaengsup S, Metz M, Chikunguwo S, et al. Diagnostic laparoscopy for chronic abdominal pain after gastric bypass. Surg Obes Relat Dis 2008;4:394-8.
10. Greenstein AJ, O'Rourke RW. Abdominal pain after gastric bypass: suspects and solutions. Am J Surg 2011;201:819-27.
11. Høgestøl IK, Chahal-Kummen M, Eribe I, Brunborg C, Stubhaug A, Hewitt S, et al. Chronic abdominal pain and symptoms 5 years after gastric bypass for morbid obesity. Obes Surg 2017;27:1438-45.
12. Swartz DE, Mobley E, Felix EL. Bile reflux after Roux-en-Y gastric bypass: an unrecognized cause of postoperative pain. Surg Obes Relat Dis 2009;5:27-30.
13. Aftab H, Risstad H, Søvik TT, Bernklev PD, Hewitt S, Kristinsson JA, et al. Five-year outcome after gastric bypass for morbid obesity in a Norwegian cohort. Surg Obes Relat Dis 2014;10:71-8.
14. Carabotti M, D’Ercole C, Iossa A, Corazziari E, Silecchia G, Severi C. Helicobacter pylori infection in obesity and its clinical outcome after bariatric surgery. World J Gastroenterol 2014;20:647-53.
15. Chaves LC, Borges IK, Souza MD, Silva IP, Silva LB,
Magalhes MA, et al. Inflammatory disorders associated with helicobacter pylori in the Roux-en-Y bypass gastric pouch. Arq Bras Cir Dig 2016;29: 31-4.
16. Rawlins L, Rawlins MP, Brown CC, Schumacher DL. Effect of Helicobacter pylori on marginal ulcer and stomal stenosis after Roux-en-Y gastric bypass. Surg Obes Relat Dis 2013;9:760-4.
17. Franklin AL, Koeck ES, Hamrick MC, Qureshi FG, Nadler EP. Prevalence of chronic gastritis or Helicobacter pylori infection in adolescent sleeve gastrectomy patients does not correlate with symptoms or surgical outcomes. Surg Infect (Larchmt) 2015;16:401-4.
18. Brownlee AR, Bromberg E, Roslin MS. Outcomes in patients with Helicobacter pylori undergoing laparoscopic sleeve gastrectomy. Obes Surg 2015;25:2276-9.
19. Lewis KD, Takenaka KY, Luber SD. Acute abdominal pain in the bariatric surgery patient. Emerg Med Clin North Am 2016;34:387-407.
20. Shanti H, Almajali N, Al-Shamaileh T, Samarah W, Mismar A, Obeidat F. Helicobacter pylori does not affect postoperative outcomes after sleeve gastrectomy. Obes Surg 2017;27:1298-301.
21. Nguyen DM, El-Serag HB. The epidemiology of obesity. Gastroenterol Clin North Am 2010;39:1-7.
22. Cho M, Kaidar-Person O, Szomstein S, Rosenthal RJ. Emergency room visits after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Obes Relat Dis 2008;4:104-9.
23. Kelly JJ, Perugini RA, Wang QL, Czerniach DR, Flahive J, Cohen PA. The presence of Helicobacter pylori is not associated with long-term anastomotic complications in gastric bypass patients. Surg Endosc 2015;29:2885-90.
24. Hartwig M, Allvin R, Bäckström R, Stenberg E. Factors associated with increased experience of postoperative pain after laparoscopic gastric bypass surgery. Obes Surg 2017;27:1854-8.
| Files | ||
| Issue | Vol 60 No 9 (2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/acta.v60i9.11098 | |
| Keywords | ||
| Chronic abdominal pain Bariatric surgery H. pylori | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Dalili A, Kamali N, Jangjo A, Sadeghi M, Kiyani Far F, Mohammadi S, Mahdavi Zafarghandi M. Chronic Abdominal Pain Prevalence in Patients Undergoing the Bariatric Surgery With Positive History of H. pylori. Acta Med Iran. 2022;60(9):571-574.
