Difference between revisions of "Roux-en-Y gastric bypass"

From Libre Pathology
Jump to navigation Jump to search
 
(2 intermediate revisions by the same user not shown)
Line 6: Line 6:
*Mortality ~0.15%.<ref name=pmid23470583>{{Cite journal  | last1 = Benotti | first1 = P. | last2 = Wood | first2 = GC. | last3 = Winegar | first3 = DA. | last4 = Petrick | first4 = AT. | last5 = Still | first5 = CD. | last6 = Argyropoulos | first6 = G. | last7 = Gerhard | first7 = GS. | title = Risk factors associated with mortality after Roux-en-Y gastric bypass surgery. | journal = Ann Surg | volume = 259 | issue = 1 | pages = 123-30 | month = Jan | year = 2014 | doi = 10.1097/SLA.0b013e31828a0ee4 | PMID = 23470583 }}
*Mortality ~0.15%.<ref name=pmid23470583>{{Cite journal  | last1 = Benotti | first1 = P. | last2 = Wood | first2 = GC. | last3 = Winegar | first3 = DA. | last4 = Petrick | first4 = AT. | last5 = Still | first5 = CD. | last6 = Argyropoulos | first6 = G. | last7 = Gerhard | first7 = GS. | title = Risk factors associated with mortality after Roux-en-Y gastric bypass surgery. | journal = Ann Surg | volume = 259 | issue = 1 | pages = 123-30 | month = Jan | year = 2014 | doi = 10.1097/SLA.0b013e31828a0ee4 | PMID = 23470583 }}
</ref>
</ref>
*A segment of [[small bowel]] is excised as part of the procedure.
==Microscopic==
Features:
*Normal small bowel wall.
Note:
*May have increased [[intraepithelial lymphocytes]].<ref name=pmid17516730>{{Cite journal  | last1 = Harpaz | first1 = N. | last2 = Levi | first2 = GS. | last3 = Yurovitsky | first3 = A. | last4 = Kini | first4 = S. | title = Intraepithelial lymphocytosis in architecturally normal small intestinal mucosa: association with morbid obesity. | journal = Arch Pathol Lab Med | volume = 131 | issue = 3 | pages = 344; author reply 344 | month = Mar | year = 2007 | doi = 10.1043/1543-2165(2007)131[344b:IR]2.0.CO;2 | PMID = 17516730 }}</ref>


==Sign out==
==Sign out==
Line 18: Line 26:
</pre>
</pre>


===IELs present===
<pre>
Small Bowel, Excision during Gastric Bypass:
- Small bowel wall with increased intraepithelial lymphocytes, otherwise within normal limits, see comment.
Comment:
The increased intraepithelial lymphocytes are likely explained by obesity; however, other causes (such as infection, inflammatory bowel disease and celiac disease) should be considered within the clinical context.
</pre>
==See also==
==See also==
*[[Small bowel]].
*[[Small bowel]].

Latest revision as of 15:12, 28 November 2019

Schematic showing a Roux-en-Y gastric bypass. (Lina Wolf/WC)

Roux-en-Y gastric bypass is procedure used to treat obesity.

General

  • Treatment for obesity.
  • Mortality ~0.15%.[1]
  • A segment of small bowel is excised as part of the procedure.

Microscopic

Features:

  • Normal small bowel wall.

Note:

Sign out

Small Bowel, Excision During Gastric Bypass:
     - Small bowel wall within normal limits. 
Small Bowel, Excision during Roux-en-Y Gastric Bypass:
- Small bowel wall within normal limits. 

IELs present

Small Bowel, Excision during Gastric Bypass:
	- Small bowel wall with increased intraepithelial lymphocytes, otherwise within normal limits, see comment.

Comment:
The increased intraepithelial lymphocytes are likely explained by obesity; however, other causes (such as infection, inflammatory bowel disease and celiac disease) should be considered within the clinical context. 

See also

References

  1. Benotti, P.; Wood, GC.; Winegar, DA.; Petrick, AT.; Still, CD.; Argyropoulos, G.; Gerhard, GS. (Jan 2014). "Risk factors associated with mortality after Roux-en-Y gastric bypass surgery.". Ann Surg 259 (1): 123-30. doi:10.1097/SLA.0b013e31828a0ee4. PMID 23470583.
  2. Harpaz, N.; Levi, GS.; Yurovitsky, A.; Kini, S. (Mar 2007). "Intraepithelial lymphocytosis in architecturally normal small intestinal mucosa: association with morbid obesity.". Arch Pathol Lab Med 131 (3): 344; author reply 344. doi:10.1043/1543-2165(2007)131[344b:IR]2.0.CO;2. PMID 17516730.