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Review of pathological findings in laparoscopic sleeve gastrectomy specimens performed for morbid obesity.
- Source :
-
Journal of clinical pathology [J Clin Pathol] 2020 Oct; Vol. 73 (10), pp. 618-623. Date of Electronic Publication: 2020 Jun 26. - Publication Year :
- 2020
-
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.<br />Materials and Methods: A literature search was performed to identify relevant case series. Data gathered from relevant case series then underwent statistical analysis.<br />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.<br />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.<br />Competing Interests: Competing interests: None declared.<br /> (© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
Details
- Language :
- English
- ISSN :
- 1472-4146
- Volume :
- 73
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Journal of clinical pathology
- Publication Type :
- Academic Journal
- Accession number :
- 32591353
- Full Text :
- https://doi.org/10.1136/jclinpath-2020-206428