Macroscopic Evaluation of Gastric Specimens After Laparoscopic Sleeve Gastrectomy—an Optimum Screening Test for Incidental Pathologies?
| Autor: | Piotr K. Kowalewski, Anna Różańska-Walędziak, Krzysztof Paśnik, Maciej Walędziak, Michał R. Janik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Screening test Endocrinology Diabetes and Metabolism Original Contributions Histopathology 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Gastrectomy medicine Humans In patient Obesity Prospective Studies Pathological Pathological findings Bariatric surgery Laparoscopic sleeve gastrectomy Incidental Findings Nutrition and Dietetics medicine.diagnostic_test business.industry Histological Techniques Stomach Cancer medicine.disease Endoscopy Obesity Morbid Hyperplastic Polyp 030211 gastroenterology & hepatology Surgery Laparoscopy Radiology business |
| Zdroj: | Obesity Surgery |
| ISSN: | 1708-0428 0960-8923 |
| Popis: | Introduction Obesity is a serious lifestyle disease with various comorbidities and an augmented risk of cancer. Laparoscopic sleeve gastrectomy (LSG) has recently become the most popular bariatric procedure worldwide. While the cost-effectiveness is a major healthcare providers’ concern, the point of histological exam of each resected tissue may be questioned. Material/Methods We prospectively included patients who underwent LSG. Before the surgery, gastroscopy and abdominal sonography were performed to exclude malignancies. The gastric specimen was cut open after the surgery and inspected macroscopically, then sent for a microscopic examination. Results In 5 cases out of 115, macroscopic evaluation of the resected specimen performed by the surgeon suggested existing pathology, confirmed by a microscopic evaluation in 3 out of 5 cases. In the remaining 2 cases, pathological analysis did not reveal abnormalities. In 110 cases, the gastric specimen was recognized to be unchanged by the surgeon, 109 out of which were confirmed by the pathologist to be normal, in 1 case a hyperplastic polyp was found. The sensitivity of macroscopic evaluation reached 75% (95% CI, 19.4–99.4%, p = 0.625), with specificity of 98.2% (95% CI, 93.6–99.8%, p |
| Databáze: | OpenAIRE |
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