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Comment on: Histopathologic findings in laparoscopic sleeve gastrectomy: is routine full pathologic evaluation indicated?

Published:November 09, 2022DOI:https://doi.org/10.1016/j.soard.2022.10.038
      The empiric gross and histologic pathology examination of sleeve gastrectomy specimens has come under progressively increasing scrutiny. The authors of this article [

      Yang J, Trivedi A, Nyirenda T, Shi M, Petit R, Talishinskiy T. Histopathologic findings in laparoscopic sleeve gastrectomy: is routine full pathologic evaluation indicated? Surg Obes Relat Dis. Epub 2022 Oct 7.

      ] make a valid point that identification of abnormal gastric pathology is a key component of providing excellence in care to the bariatric surgical patient. They demonstrate findings of previously undiagnosed malignancy in a tiny portion of patients, but more importantly, statistically significant amounts of previously undiagnosed gastritis and Heliobacter pylori infections. This information is important and provides further support to the position that patients undergoing metabolic and bariatric surgery (MBS) warrant evaluation for gastric pathology, and particularly gastritis and H. pylori infection.
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      References

      1. Yang J, Trivedi A, Nyirenda T, Shi M, Petit R, Talishinskiy T. Histopathologic findings in laparoscopic sleeve gastrectomy: is routine full pathologic evaluation indicated? Surg Obes Relat Dis. Epub 2022 Oct 7.

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