Clin Surg | Volume 2, Issue 1 | Case Report | Open Access

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

Mohammad Kermansaravi1, Foolad Eghbali1*, Sattar Darabi1 and Abdolreza Pazouki1,2

1Department of Minimally Invasive Surgery, Iran University of Medical Sciences, Iran
2Department of Minimally Invasive Surgery, Center of Excellence of International Federation for Surgery of Obesity, Iran

*Correspondance to: Foolad Eghbalii 

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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.


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


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.

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