Preoperative endoscopy and pathology report of the specimen to be recommended in sleeve gastrectomy?

IF 4.4 Q1 PATHOLOGY PATHOLOGICA Pub Date : 2023-04-01 DOI:10.32074/1591-951X-781

Remo Alessandris, Federico Moroso, Mauro Michelotto, Matteo Fassan, Valentina Angerilli, Linda Callegari, Mirto Foletto

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Abstract

Objective: Preoperative upper gastrointestinal endoscopy (UGIE) and postoperative histopathological examination (HPE) of resected specimens are still controversial issues in bariatric surgery.

Methods: A retrospective review of prospectively collected laparoscopic sleeve gastrectomies (SG) performed at our institution for morbid obesity was carried out. All patients underwent pre-operative UGIE with biopsy, post-operative HPE and conventional post-operative follow-up.

Results: From January 2019 through January 2021 we performed a total of 501 laparoscopic SG. A total of 12 (2.4%) neoplasms were found, 2 evident at preoperative UGIE, 4 detected during operation, and 6 at HPE. Eight of these 12 cases had some malignant potential and 5 would not have been detected without HPE of the specimen. The most significant unexpected case was a fundic gland type adenocarcinoma in a 64-year-old female with severe obesity.

Conclusion: On the basis of our clinical experience, we recommend both preoperative endoscopic assessment and postoperative HPE of the specimen to provide the best available treatment to these patients.

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术前内镜检查及标本病理报告推荐袖式胃切除术?

目的:在减肥手术中，术前上消化道内镜检查(UGIE)和术后组织病理学检查(HPE)仍然是有争议的问题。方法:回顾性回顾前瞻性收集腹腔镜袖胃切除术(SG)在我所进行的病态肥胖。所有患者均行术前UGIE活检、术后HPE和常规术后随访。结果:从2019年1月到2021年1月，我们共进行了501例腹腔镜SG。共发现肿瘤12例(2.4%)，术前UGIE 2例，术中发现4例，HPE 6例。这12例中有8例有一定的恶性潜能，5例没有标本的HPE就不会被发现。最重要的意外病例是一名64岁严重肥胖女性的基底腺型腺癌。结论:根据我们的临床经验，我们建议术前内镜评估和术后标本HPE，为这些患者提供最佳的治疗方法。

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来源期刊

PATHOLOGICA PATHOLOGY-

CiteScore

5.90

自引率

5.70%

发文量

108