1. Review of pathological findings in laparoscopic sleeve gastrectomy specimens performed for morbid obesity.
- Author
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Nowak K, DiPalma A, Serra S, Quereshy F, Jackson T, Okrainec A, and Chetty R
- Subjects
- Adult, Bariatric Surgery, Female, Gastrectomy, Humans, Laparoscopy, Male, Middle Aged, Obesity, Morbid pathology, Obesity, Morbid surgery, Stomach pathology
- Abstract
Background: Bariatric surgical procedures are employed when there is a failure of lifestyle modification in arresting obesity. Laparoscopic sleeve gastrectomy (LSG) is quickly becoming the bariatric surgical procedure of choice. LSG results in a gastric remnant that is subject to pathological examination. The objective of this paper is to review the literature in regard to histological findings identified in gastric remnants post-LSG and identify the most pertinent histological findings., Materials and Methods: A literature search was performed to identify relevant case series. Data gathered from relevant case series then underwent statistical analysis., Results: The most common histological findings in an LSG specimen were clinically indolent findings such as no pathological abnormalities identified followed by non-specific gastritis. A minority of cases demonstrated clinically actionable findings for which Helicobacter pylori represented the majority of these findings., Conclusion: There is a broad spectrum of pathological findings in LSG specimens, ranging from clinically indolent to clinically actionable. The most common histological findings are clinically indolent and only a small portion are of clinical significance and, hence, actionable., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2020
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