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Is it necessary to perform full pathologic review of all gastric remnants following sleeve gastrectomy?

Abstract：

BACKGROUND:This study attempts to determine if enough pathological abnormalities in gastric remnants from sleeve gastrectomy exist to warrant full pathologic evaluation in all remnants. METHODS:Data was collected on patients undergoing sleeve gastrectomy between 08/01/2011 and 06/30/2014. Significant abnormalities were classified as any pathology that might require follow-up or treatment beyond standard follow-up. Age, comorbidities, gender, and Helicobacter pylori titers were analyzed and compared with pathology specimens using 95% confidence intervals and Phi contingency coefficients. RESULTS:Full pathologic evaluation was available for 351/387 patients (91.2%). No examples of malignancy or dysplasia were identified. Gastritis was the most common abnormality. There was a statistically significant association between preoperative H. pylori and significantly abnormal pathology (p = 0.003). Other comorbidities had no association. CONCLUSIONS:These results suggest that full pathologic evaluation of the gastric remnant following sleeve gastrectomy is unnecessary, particularly when gross pathology is not noted at initial operation.

journal_name

Am J Surg

journal_title

American journal of surgery

authors

Hansen SK,Pottorf BJ,Hollis HW Jr,Rogers JL,Husain FA

doi

10.1016/j.amjsurg.2017.06.029

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1151-1155

issue

6

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(17)30422-1

journal_volume

214

pub_type

杂志文章

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