Difference between revisions of "Sleeve gastrectomy"
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[[Image: Gastric sleeve icon.svg | thumb | right| 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%.<ref name=pmid23386918>{{cite journal |author=Albawardi A, Almarzooqi S, Torab FC |title=Helicobacter pylori in sleeve gastrectomies: prevalence and rate of complications |journal=Int J Clin Exp Med |volume=6 |issue=2 |pages=140–3 |year=2013 |pmid=23386918 |pmc=3560499 |doi= |url=}}</ref><ref name=pmid24158738>{{cite journal |author=Onzi TR, d'Acampora AJ, de Araújo FM, ''et al.'' |title=Gastric histopathology in laparoscopic sleeve gastrectomy: pre- and post-operative comparison |journal=Obes Surg |volume=24 |issue=3 |pages=371–6 |year=2014 |month=March |pmid=24158738 |doi=10.1007/s11695-013-1107-8 |url=}}</ref> | |||
*[[GIST]]s are seen in 0.6% of cases (based on a series of 827 patients<ref>{{Cite journal | last1 = Yuval | first1 = JB. | last2 = Khalaileh | first2 = A. | last3 = Abu-Gazala | first3 = M. | last4 = Shachar | first4 = Y. | last5 = Keidar | first5 = A. | last6 = Mintz | first6 = Y. | last7 = Nissan | first7 = A. | last8 = Elazary | first8 = R. | title = The True Incidence of Gastric GIST-a Study Based on Morbidly Obese Patients Undergoing Sleeve Gastrectomy. | journal = Obes Surg | volume = | issue = | pages = | month = Jun | year = 2014 | doi = 10.1007/s11695-014-1336-5 | PMID = 24965544 }}</ref>). | |||
==Sign out== | |||
===Normal=== | |||
<pre> | |||
Partial Stomach, Sleeve Gastrectomy: | |||
- Stomach wall within normal limits. | |||
</pre> | |||
===Focal chronic gastritis=== | |||
<pre> | |||
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. | |||
</pre> | |||
===Intestinal metaplasia=== | |||
<pre> | |||
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. | |||
</pre> | |||
===Helicobacter gastritis=== | |||
<pre> | |||
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. | |||
</pre> | |||
====Present on prior biopsy==== | |||
<pre> | |||
Comment: | |||
The prior stomach biopsy findings are noted. | |||
Please ensure this individual has gotten Helicobacter eradication therapy and re-assess as clinically indicated. | |||
</pre> | |||
===Block letters=== | |||
<pre> | |||
STOMACH, GREATER CURVE, SLEEVE GASTRECTOMY: | |||
- STOMACH WALL WITHIN NORMAL LIMITS. | |||
</pre> | |||
==See also== | |||
*[[Ditzels]]. | |||
*[[Stomach]]. | |||
*[[Roux-en-Y gastric bypass]]. | |||
*[[Gastric band]]. | |||
==References== | |||
{{Reflist|1}} | |||
[[Category:Gastrointestinal pathology]] | |||
Latest revision as of 16:33, 26 November 2021
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]).
Sign out
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.
See also
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.