IMPACT OF HELICOBACTER PYLORI ON EARLY POSTOPERATIVE COMPLICATIONS AFTER SLEEVE GASTRECTOMY: A SYSTEMATIC REVIEW AND META-ANALYSIS

DANTAS, Anna Carolina Batista; JAYME, Vitoria Ramos; FILARDI, Kaique Flavio Xavier Cardoso; PAJECKI, Denis; SANTO, Marco Aurelio

doi:10.1590/0102-672020230070e1788

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Review Article • ABCD, arq. bras. cir. dig. 36 • 2023 • https://doi.org/10.1590/0102-672020230070e1788 copy

IMPACT OF HELICOBACTER PYLORI ON EARLY POSTOPERATIVE COMPLICATIONS AFTER SLEEVE GASTRECTOMY: A SYSTEMATIC REVIEW AND META-ANALYSIS

IMPACTO DO HELICOBACTER PYLORI EM COMPLICAÇÕES PRECOCES APÓS A GASTRECTOMIA VERTICAL: UMA REVISÃO SISTEMÁTICA E META-ANÁLISE

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The impact of Helicobacter pylori (HP) on postoperative outcomes after sleeve gastrectomy (SG) is still controversial. A systematic review and meta-analysis were performed to compare the incidence of early complications after SG between HP-positive and HP-negative patients. Eight retrospective comparative studies were included, comprising 4,877 individuals. The prevalence of HP infection in gastric resected specimens ranged from 7.77 to 43.20%. There were no statistically significant differences between groups for overall complications (OR 1.46; 95%CI 0.95–2.23; p=0.08), bleeding (OR 1.35; 95%CI 0.70–2.60; p=0.38), and leak (OR 1.74; 95%CI 0.80–3.81; p=0.17) rates. The need for routine screening and treatment of HP infection before SG remains ambiguous.

HEADINGS
Bariatric Surgery; Helicobacter Pylori; Postoperative Complications

Author	Year	Study design	Quality assessment^* * Newcastle-Ottawa Scale assessment of cohort studies, maximum score of 9. BMI: body mass index; HP: Helicobacter pylori.	n	Study arm	Patients (n)	Mean age years	Gender %female	Mean BMI kg/m²2. Almazeedi S, Al-Sabah S, Alshammari D, Alqinai S, Al-Mulla A, Al-Murad A, et al. The impact of Helicobacter pylori on the complications of laparoscopic sleeve gastrectomy. Obes Surg. 2014;24(3):412-5. https://doi.org/10.1007/s11695-013-1108-7 https://doi.org/10.1007/s11695-013-1108-...
Almazeedi et al.²2. Almazeedi S, Al-Sabah S, Alshammari D, Alqinai S, Al-Mulla A, Al-Murad A, et al. The impact of Helicobacter pylori on the complications of laparoscopic sleeve gastrectomy. Obes Surg. 2014;24(3):412-5. https://doi.org/10.1007/s11695-013-1108-7 https://doi.org/10.1007/s11695-013-1108-...	2014	Retrospective	7	682	HP positive HP negative	53 629	33.5 33.5	- -	46.0 46.0
Rossetti et al.²³23. Rossetti G, Moccia F, Marra T, Buonomo M, Pascotto B, Pezzullo A, et al. Does Helicobacter pylori infection have influence on outcome of laparoscopic sleeve gastrectomy for morbid obesity? Int J Surg. 2014;12 Suppl 1:S68-71. https://doi.org/10.1016/j.ijsu.2014.05.051 https://doi.org/10.1016/j.ijsu.2014.05.0...	2014	Retrospective	8	184	HP positive HP negative	72 112	32.4 37.3	70.83 60.71	44.4 47.2
Brownlee et al.⁶6. Brownlee AR, Bromberg E, Roslin MS. Outcomes in patients with helicobacter pylori undergoing laparoscopic sleeve gastrectomy. Obes Surg. 2015;25(12):2276-9. https://doi.org/10.1007/s11695-015-1687-6 https://doi.org/10.1007/s11695-015-1687-...	2015	Retrospective	8	490	HP positive HP negative	52 438	40.7 40.2	80.77 70.09	48.2 47.0
Gonzalez-Heredia et al.¹³13. Gonzalez-Heredia R, Tirado V, Patel N, Masrur M, Murphey M, Elli E. Is Helicobacter pylori associated with an increased complication rate after sleeve gastrectomy? Bariatr Surg Pract Patient Care. 2015;10(1):15-8. https://doi.org/10.1089/bari.2014.0045 https://doi.org/10.1089/bari.2014.0045...	2015	Retrospective	8	400	HP positive HP negative	68 332	42.2 41.3	86.76 81.63	51.5 50.6
Shanti et al.²⁸28. 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(5):1298-301. https://doi.org/10.1007/s11695-016-2470-z https://doi.org/10.1007/s11695-016-2470-...	2017	Retrospective	8	500	HP positive HP negative	216 284	33.3 36.0	71.76 72.89	46.2 45.0
Serin et al.²⁶26. Serin KR, Akyüz Ü, Batman B, Uymaz DS, Altun H. Does Helicobacter pylori infection influence the major postoperative complication rate after sleeve gastrectomy? A retrospective cohort study in an endemic region. Turk J Gastroenterol. 2018;29(4):379-83. https://doi.org/10.5152/tjg.2018.17373 https://doi.org/10.5152/tjg.2018.17373...	2018	Retrospective	8	460	HP positive HP negative	150 310	38.4 37.1	66.00 73.23	42.9 42.6
Emile et al.⁸8. Emile SH, Elshobaky A, Elbanna HG, Elkashef W, Abdel-Razik MA. Helicobacter pylori, sleeve gastrectomy, and gastroesophageal reflux disease; Is there a relation? Obes Surg. 2020;30(8):3037-45. https://doi.org/10.1007/s11695-020-04648-4 https://doi.org/10.1007/s11695-020-04648...	2020	Retrospective	8	176	HP positive HP negative	69 107	33.9 34.4	88.41 85.98	50.8 48.8
Abu-Abeid et al.¹1. Abu-Abeid A, Abu-Abeid S, Nizri E, Kuriansky J, Lahat G, Dayan D. The association of helicobacter pylori, eradication, and early complications of laparoscopic sleeve gastrectomy. Obes Surg. 2022;32(5):1617-23. https://doi.org/10.1007/s11695-022-05996-z https://doi.org/10.1007/s11695-022-05996...	2022	Retrospective	8	1,985	HP positive HP negative	179 1806	40.4 41.7	63.13 65.84	43.4 42.6

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[1] Correspondence: Anna Carolina Batista Dantas. Email: carolbatista.med@gmail.com