Jornal de Patologia Clínica e Experimental

Abstrato

Clinical Effectiveness of Routine Pathological Exam after Bariatric Laparoscopic Sleeve Gastrectomy

Camelia D Vrabie and Marius Gangal

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.