Review of pathological findings in laparoscopic sleeve gastrectomy specimens performed for morbid obesity.
gastric pathology
gastrointestinal disease
helicobacter pylori
Journal
Journal of clinical pathology
ISSN: 1472-4146
Titre abrégé: J Clin Pathol
Pays: England
ID NLM: 0376601
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
06
01
2020
revised:
14
04
2020
accepted:
16
04
2020
pubmed:
28
6
2020
medline:
29
9
2020
entrez:
28
6
2020
Statut:
ppublish
Résumé
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. A literature search was performed to identify relevant case series. Data gathered from relevant case series then underwent statistical analysis. 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 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.
Sections du résumé
BACKGROUND
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
METHODS
A literature search was performed to identify relevant case series. Data gathered from relevant case series then underwent statistical analysis.
RESULTS
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
CONCLUSION
CONCLUSIONS
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.
Identifiants
pubmed: 32591353
pii: jclinpath-2020-206428
doi: 10.1136/jclinpath-2020-206428
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
618-623Informations de copyright
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.