Bibliographic Details
| Title: |
Estudio histopatológico de piezas de gastrectomía vertical: ¿Se justifica su realización sistemática? |
| Alternate Title: |
Is routine histopathologic examination after sleeve gastrectomy justified? |
| Authors: |
Chinelli-Ramos, Javier1 jchinelli01@gmail.com, Falero-Spinola, Eugenia1, Fernández-Franco, Carolina1, Hernández-Negrin, Rodrigo1, Barros-García, Mariana2, Rodríguez-Temesio, Gustavo1 |
| Source: |
Revista de Cirugia. 2026, Vol. 78 Issue 3, p236-242. 7p. |
| Abstract (English): |
Introduction: Vertical sleeve gastrectomy (VSG) is one of the preferred techniques for the treatment of morbid obesity. However, routine histopathological examination of the specimen remains debated. Objectives: To determine the prevalence of preoperative endoscopic and postoperative pathological findings in patients who underwent VSG. Methods: Retrospective and analytical. Patients who underwent VSG between 2014 and 2025 were included. Sex, age, body mass index (BMI), endoscopic and histopathologic findings were assessed. Results: 360 cases met the inclusion criteria. Preoperative endoscopy was available in 215 (56.6%). Prevalence of non atrophic cronic gastritis was 38.8% and of pre-neoplastic lesions such as intestinal metaplasia was 0.5% and no tumors were identified. Conclusions: The results suggest that routine histopathological examination of VSG specimens may still be justified. Alternatively, a selective approach could apply for those cases in which opening the fresh specimen reveals suspicious or abnormal mucosa. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Introducción: La gastrectomía vertical (GV) es uno de los procedimientos realizados con mayor frecuencia para el tratamiento de la obesidad mórbida, siendo debatida la necesidad del estudio anatomopatológico sistemático de la pieza quirúrgica. Objetivos: Establecer la prevalencia de hallazgos endoscópicos preoperatorios y anatomopatológicos postoperatorios en pacientes operados. Métodos: Estudio retrospectivo y analítico, incluyendo pacientes a los que se realizó una GV entre 2014 y 2025. Se consignaron edad, sexo, índice de masa corporal (IMC), hallazgos endoscópicos y anatomopatológicos. Resultados: 360 pacientes cumplieron los criterios de inclusión. La endoscopía preoperatoria pudo ser evaluada en 215 (56,6%). La prevalencia de gastritis crónica fue de 38,8% y la de lesiones preneoplásicas como metaplasia intestinal fue de 0,5%, no se hallaron tumores. Conclusión: Los resultados sugieren que no debería abandonarse el estudio sistemático de las piezas de GV. Una alternativa podría ser un enfoque selectivo, en aquellos casos que la apertura del espécimen fresco revele una mucosa de aspecto sospechoso o anormal. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
