ISSN: 2161-0681

Journal of Clinical & Experimental Pathology
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  • Research Article   
  • J Clin Exp Pathol, Vol 8(5): 357
  • DOI: 10.4172/2161-0681.1000357

Clinical Effectiveness of Routine Pathological Exam after Bariatric Laparoscopic Sleeve Gastrectomy

Camelia D Vrabie1 and Marius Gangal2*
1Pathology Department, “Sfantul Ioan” Clinical Emergency Hospital, Bucharest-042122, Romania
2Medical Data Analytics (MEDACS), Rigaud, PQ-J0P1P0, Canada
*Corresponding Author : Marius Gangal, Medical Data Analytics (MEDACS), Rigaud, PQ-J0P1P0, Canada, Tel: +40726130187, Email: marius.gangal@gmail.com

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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