Gastric sleeve

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Author: Mikael Häggström [note 1]

Comprehensiveness

On this resource, the following formatting is used for comprehensiveness:

  • Minimal depth
  • (Moderate depth)
  • ((Comprehensive))
Other legend

<< Decision needed between alternatives separated by / signs >>
{{Common findings / In case of findings}}
[[Comments]]
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Gross processing

  • Measure length and maximum diameter, as well as the length of the staple line.
  • Inspect the serosal surface.
  • Open longitudinally
  • Inspect the mucosa.
  • Measure the maximum wall thickness.

Tissue selection

2 representative sections, in addition to any visible lesions.

Gross report

Example:

((A. Labeled - ___. The specimen is received in formalin and consists of)) a segment of pink-tan stomach measuring __ cm in length and __ cm in maximum diameter. A staple line (surgical margin) is present which measures __ cm in length. The serosal surface is pink-tan and {{focally ragged with scattered transmural defects}}. A minimal amount of soft, yellow perigastric fat is present. Upon opening, the gastric lumen contains a small amount of bloody mucoid material. The mucosa is red-tan with normal rugae and no gross lesions. The wall measures up to ___ cm in thickness. (Representative sections are submitted for microscopic examination in __ cassettes.)

Microscopic examination

Usual stomach screening. Further information: Stomach

Example report:

Stomach, partial gastrectomy:
Mild chronic gastritis, non specific.
Negative for H. Pylori microorganisms on H&E stained slide.

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.

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References


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