Clinical Effectiveness of Routine Pathological Exam after Bariatric Laparoscopic Sleeve Gastrectomy
Received Date: Nov 20, 2018 / Accepted Date: Nov 26, 2018 / Published Date: Dec 03, 2018
Abstract
Aim: To evaluate the clinical effectiveness of routine pathology exam as a diagnostic tool after laparoscopic gastric sleeve.
Method: A review of diagnostics coming from 347 bariatric gastric specimens sampled over four years.
Results: Only 6.3% of histology diagnostics were labelled as “normal”; “chronic gastritis” was found in 43.8%. Acute chronic gastritis was found in 13.6%, lymphocytic infiltration/aggregation in 22.2% and atrophic gastritis in 4.6% of cases. Almost 17% of diagnostics were considered “clinically relevant”: infection/infestation with Helicobacter pylori - 12.4% and serious incidental findings - 4.3%. No malignancy was discovered.
Conclusions: Routine basic pathology exam after laparoscopic sleeve is clinical effective and it should be maintained as gold diagnostic standard after bariatric surgery.
Keywords: Gastric histology; Laparoscopic gastric sleeve; Bariatric pathology; Gastritis; Helicobacter pylori infestation
Citation: Vrabie CD, Gangal M (2018) Clinical Effectiveness of Routine Pathological Exam after Bariatric Laparoscopic Sleeve Gastrectomy. J Clin Exp Pathol 8: 357. Doi: 10.4172/2161-0681.1000357
Copyright: © 2018 Vrabie CD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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