Gastric band

Gastric band is an occasion pathology specimen and can be considered a ditzel.

A drawing of a gastric band in place around the stomach. (WC/James P. Gray)

General

• Gastric banding is done to treat obesity.
  • An alternative to sleeve gastrectomy and Roux-en-Y gastric bypass.
• May be excised if the individual does not have a sufficient weight loss or weight gain.

Microscopic

Features of laparoscopic gastric band capsule:

• Foreign body reaction (giant cells).
• Inflammation (chronic).
• Fibrosis.
• Neovascularization.

Sign out

Gastric Band, Removal:
- Gastric band (gross only).
- Benign fibrous tissue with mild inflammation, consistent with capsule.
- NEGATIVE for malignancy.

Alternate

Gastric Band, Removal:
     - Foreign body, consistent with gastric band (gross only).
     - Benign fibroadipose tissue, NEGATIVE for significant pathology.

Long version

Gastric Band, Removal:
- Small fragments of gastric mucosa with moderate chronic inactive inflammation, 
  and scant benign adipose tissue.
- Mixed micro-organisms (rods, cocci, actinomycetes) compatible with 
  oropharyngeal source; clinical correlation suggested.
- Cellular debris (in keeping with erosion) and foreign material.
- Foreign body compatible with gastric band (gross only).
- NEGATIVE for intestinal metaplasia.
- NEGATIVE for dysplasia and NEGATIVE for malignancy.

See also

• Obesity.