Histopathological review of resections from gastric sleeve resections is necessary as unexpected, clinically significant pathology may be found, according to an abstract presented at the College of American Pathologists annual meeting (Chicago; Sept. 7-10). In a recent case review study, nearly one-quarter of bariatric surgery patients had a clinically significant finding, which the authors say is noteworthy for better informing the discussion of standardizing preoperative workups for these obese patients. The need for preoperative endoscopy is currently debated for patients readying for bariatric surgery. While often routine practice, few studies have examined the histopathologic changes in the bariatric specimens of morbidly obese patients to determine if preoperative endoscopy findings would likely alter the operative plan. In the present study, researchers conducted a retrospective case review of 343 bariatric gastric sleeve surgery cases performed at the University of Illinois Hospital and Health Sciences System (January 2009 to August 2013). More than one-half of the patients had histopathologic findings, with 24.8 percent of these findings reaching clinical significance. The most frequent finding was gastritis (69 percent), including chronic inactive (51 percent of all patients), chronic active (15.4 percent), acute-on-chronic gastritis (2 percent), and associated Helicobacter pylori infection (22.8 percent). Six patients (1.7 […]