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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, OBJECTIVE, METHODS, METHODS, RESULTS. Meshes: Adult, Bariatric Surgery, Body Mass Index, Cohort Studies, Female, Follow-Up Studies, Gastrectomy, Gastritis, Helicobacter Infections, Hospitals, University, Humans, Incidental Findings, Laparoscopy, Male, Middle Aged, Obesity, Morbid, Preoperative Care, Prevalence, Retrospective Studies, Specimen Handling, Stomach, Treatment Outcome, United States.
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Do vertical sleeve gastrectomy specimens have a high prevalence of unexpected histopathologic findings requiring additional clinical management? Context: Laparoscopic vertical sleeve gastrectomy is used with increasing frequency as a therapeutic option for morbid obesity. Before the procedure, patients undergo a rigorous preoperative evaluation including double contrast upper gastrointestinal radiographic series at our institution. Patients undergoing sleeve gastrectomy are presumed to have no significant gastric pathology. To investigate the prevalence of histopathologic findings requiring clinical follow-up in sleeve gastrectomy specimens. University Hospital, United States. Retrospective review was conducted of all primary vertical sleeve gastrectomy specimens performed for morbid obesity at our institution from July 2008 until August 2012 (N = 248). Unanticipated findings warranting clinical follow-up were identified in 8.4% of cases and included cases of H. pylori gastritis, autoimmune gastritis with microcarcinoid formation, necrotizing vasculitis, and intestinal metaplasia. H. pylori was identified in 5.2% of all cases and in 33.3% of cases of gastritis. Neoplasms were identified at laparoscopy in 2 additional cases (0.8%).
assistant
Surgeons and pathologists should be aware of the high prevalence of diagnoses requiring clinical follow-up in vertical sleeve gastrectomy specimens. Final Decision: yes