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)]] | [[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 | '''Sleeve gastrectomy''' is a surgical procedure to treat [[obesity]]. It is a common [[ditzel]] in [[gastrointestinal pathology]] at centres that have obesity surgery. | ||
==General== | ==General== | ||
| Line 11: | Line 11: | ||
<pre> | <pre> | ||
Partial Stomach, Sleeve Gastrectomy: | Partial Stomach, Sleeve Gastrectomy: | ||
- Stomach wall within normal limits. | - Stomach wall within normal limits. | ||
</pre> | </pre> | ||
=== | ===Focal chronic gastritis=== | ||
<pre> | <pre> | ||
Partial Stomach, Sleeve Gastrectomy: | Partial Stomach, Sleeve Gastrectomy: | ||
- Stomach wall with | - Stomach wall with focal mild chronic inactive inflammation of the mucosa. | ||
- NEGATIVE for Helicobacter-like organisms. | |||
- NEGATIVE for intestinal metaplasia. | |||
- NEGATIVE for Helicobacter-like organisms. | - NEGATIVE for dysplasia and NEGATIVE for malignancy. | ||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | |||
</pre> | </pre> | ||
=== | ===Intestinal metaplasia=== | ||
<pre> | <pre> | ||
Partial Stomach, Sleeve Gastrectomy: | Partial Stomach, Sleeve Gastrectomy: | ||
- Stomach wall with abundant HELICOBACTER-LIKE ORGANISMS (mucosa) and moderate | - 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. | chronic active inflammation of the mucosa. | ||
- NEGATIVE for intestinal metaplasia. | - NEGATIVE for intestinal metaplasia. | ||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | - 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> | </pre> | ||
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]).
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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.
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.