Sleeve gastrectomy

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

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

General

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

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Normal

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

IM

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

• Ditzels.
• Stomach.
• Roux-en-Y gastric bypass.
• Gastric band.