Is Pancreatic Incidentalomas Biopsy is Necessary during Bariatric Surgery- Three Case Reports

Mohammad Kermansaravi, Foolad Eghbali, Sattar Darabi and Abdolreza Pazouki

Department of Minimally Invasive Surgery, Iran University of Medical Sciences, Iran
Department of Minimally Invasive Surgery, Center of Excellence of International Federation for Surgery of Obesity, Iran

^*Correspondance to: Foolad Eghbalii 

 PDF  Full Text DOI: 10.25107/2474-1647.1618

Abstract

Background: Obesity, especially in central form and high body mass index (BMI) ≥ 25 kg/m², lead to higher incidence of some malignancies such as pancreatic malignant tumors in this population. In addition, there is a defect on screening test for pancreatic malignancies in morbid obese patients before bariatric surgery. The approach to incidental solid pancreatic mass (solid incidentaloma) during bariatric surgery is challenging and has never been described.Case Summary: We report three morbid obese cases that despite to follow recommended routine pre-operative evaluation according to bariatric surgery guidelines, it was found prominent mass in pancreatic head area during bariatric surgery. Laparoscopic biopsy showed focal pancreatitis in the histopathologic in two cases and showed lipomatosis in one of the cases.Conclusion: There are no strong evidences that any incidental mass during bariatric surgery must be biopsied but the patients must be observed via precise follow-ups.

Keywords

Morbid obesity; Bariatric surgery; Pancreatic incidentalomas; Pancreatitis; Laparoscopic biopsy; Case report

Cite the article

Kermansaravi M, Eghbali F, Darabi S, Pazouki A. Is Pancreatic Incidentalomas Biopsy is Necessary during Bariatric Surgery- Three Case Reports. Clin Surg. 2017; 2: 1618.