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

S. K. Hansen, B. J. Pottorf, H. W. Hollis, J. L. Rogers, Farah Husain

Research output: Contribution to journalArticle

7 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1151-1155
Number of pages5
JournalAmerican Journal of Surgery
Volume214
Issue number6
DOIs
StatePublished - Dec 1 2017

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Gastric Stump
Gastrectomy
Pathology
Helicobacter pylori
Comorbidity
Gastritis
Confidence Intervals
Neoplasms

Keywords

  • Bariatric surgery
  • Gastric remnant pathology
  • Obesity co-morbidity
  • Sleeve gastrectomy

ASJC Scopus subject areas

  • Surgery

Cite this

Is it necessary to perform full pathologic review of all gastric remnants following sleeve gastrectomy? / Hansen, S. K.; Pottorf, B. J.; Hollis, H. W.; Rogers, J. L.; Husain, Farah.

In: American Journal of Surgery, Vol. 214, No. 6, 01.12.2017, p. 1151-1155.

Research output: Contribution to journalArticle

Hansen, S. K. ; Pottorf, B. J. ; Hollis, H. W. ; Rogers, J. L. ; Husain, Farah. / Is it necessary to perform full pathologic review of all gastric remnants following sleeve gastrectomy?. In: American Journal of Surgery. 2017 ; Vol. 214, No. 6. pp. 1151-1155.
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AU - Husain, Farah

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AB - 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.

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