Gastric sleeve
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Author:
Mikael Häggström [note 1]
Contents
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 reports:
Stomach, partial gastrectomy: Portion of stomach without significant histopathologic findings. (Negative for helicobacter pylori organisms (H&E stain).) |
Gastric body, laparoscopic sleeve gastrectomy: Mild chronic gastritis, non specific. (Negative for H. Pylori microorganisms on H&E stained slide.) |
Notes
- ↑ 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
Image sources