Sleeve gastrectomy

From Libre Pathology
Jump to navigation Jump to search
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 GI pathology at centres that have obesity surgery.

General

Sign out

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

References

  1. 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/.
  2. 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.
  3. 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.