Difference between revisions of "Sleeve gastrectomy"

Latest revision as of 16:33, 26 November 2021

Schematic representation of what is done in a sleeve gastrectomy. (Lina wolf/WC)

Sleeve gastrectomy is a surgical procedure to treat obesity. It is a common ditzel in gastrointestinal pathology at centres that have obesity surgery.

General

Indication: morbid obesity.
The prevalence of Helicobacter gastritis is 33-44%.^[1]^[2]
GISTs are seen in 0.6% of cases (based on a series of 827 patients^[3]).

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Normal

Partial Stomach, Sleeve Gastrectomy:
	- Stomach wall within normal limits.

Focal chronic gastritis

Partial Stomach, Sleeve Gastrectomy:
	- Stomach wall with focal mild chronic inactive inflammation of the mucosa.
	- NEGATIVE for Helicobacter-like organisms.
	- NEGATIVE for intestinal metaplasia.
	- NEGATIVE for dysplasia and NEGATIVE for malignancy.

Intestinal metaplasia

Partial Stomach, Sleeve Gastrectomy:
	- Stomach wall with a small quantity of INTESTINAL METAPLASIA and 
	  moderate (mucosa confined) chronic inactive inflammation.
	- Fundic gland polyp.
	- NEGATIVE for Helicobacter-like organisms.
	- NEGATIVE for dysplasia and NEGATIVE for malignancy.

Helicobacter gastritis

Partial Stomach, Sleeve Gastrectomy:
	- Stomach wall with abundant HELICOBACTER-LIKE ORGANISMS (mucosa only) and moderate 
	  chronic active inflammation of the mucosa.
	- NEGATIVE for intestinal metaplasia.
	- NEGATIVE for dysplasia and NEGATIVE for malignancy.

Present on prior biopsy

Comment:
The prior stomach biopsy findings are noted. 

Please ensure this individual has gotten Helicobacter eradication therapy and re-assess as clinically indicated.

Block letters

STOMACH, GREATER CURVE, SLEEVE GASTRECTOMY:
- STOMACH WALL WITHIN NORMAL LIMITS.

References

↑ Albawardi A, Almarzooqi S, Torab FC (2013). "Helicobacter pylori in sleeve gastrectomies: prevalence and rate of complications". Int J Clin Exp Med 6 (2): 140–3. PMC 3560499. PMID 23386918. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560499/.
↑ Onzi TR, d'Acampora AJ, de Araújo FM, et al. (March 2014). "Gastric histopathology in laparoscopic sleeve gastrectomy: pre- and post-operative comparison". Obes Surg 24 (3): 371–6. doi:10.1007/s11695-013-1107-8. PMID 24158738.
↑ Yuval, JB.; Khalaileh, A.; Abu-Gazala, M.; Shachar, Y.; Keidar, A.; Mintz, Y.; Nissan, A.; Elazary, R. (Jun 2014). "The True Incidence of Gastric GIST-a Study Based on Morbidly Obese Patients Undergoing Sleeve Gastrectomy.". Obes Surg. doi:10.1007/s11695-014-1336-5. PMID 24965544.

[pmid23386918-1] Albawardi A, Almarzooqi S, Torab FC (2013). "Helicobacter pylori in sleeve gastrectomies: prevalence and rate of complications". Int J Clin Exp Med 6 (2): 140–3. PMC 3560499. PMID 23386918. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560499/.

[pmid24158738-2] Onzi TR, d'Acampora AJ, de Araújo FM, et al. (March 2014). "Gastric histopathology in laparoscopic sleeve gastrectomy: pre- and post-operative comparison". Obes Surg 24 (3): 371–6. doi:10.1007/s11695-013-1107-8. PMID 24158738.

[3] Yuval, JB.; Khalaileh, A.; Abu-Gazala, M.; Shachar, Y.; Keidar, A.; Mintz, Y.; Nissan, A.; Elazary, R. (Jun 2014). "The True Incidence of Gastric GIST-a Study Based on Morbidly Obese Patients Undergoing Sleeve Gastrectomy.". Obes Surg. doi:10.1007/s11695-014-1336-5. PMID 24965544.

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