Stomach - Revision history

Michael: /* Gastric neuroendocrine tumour */

2022-01-26T15:51:09Z

Gastric neuroendocrine tumour

← Older revision		Revision as of 15:51, 26 January 2022
Line 380:		Line 380:

	==Gastric neuroendocrine tumour==		==Gastric neuroendocrine tumour==
	*[[AKA]] ''neuroendocrine tumour of the stomach''.		*[[AKA]] ''neuroendocrine tumour of the stomach'' and ''gastric NET''.
	===General===		===General===
	*Behaviour dependent on the subtype.		*Behaviour dependent on the subtype.

Michael: /* Gastric dysplasia */ split out to Stomach adenoma

2019-05-28T18:37:03Z

Gastric dysplasia: split out to Stomach adenoma

← Older revision		Revision as of 18:37, 28 May 2019
Line 377:		Line 377:

	==Gastric dysplasia==		==Gastric dysplasia==
	~~:''Gastric adenoma'' directs here.~~		{{Main\|Stomach adenoma}}
	*[[AKA]] ''gastric columnar dysplasia''.
	~~===General===~~
	*Lesions that protrude into the lumen ''and'' are macroscopically apparent are known as: ''adenomas''.<ref name=pmid10680883>{{Cite journal \| last1 = Rugge \| first1 = M. \| last2 = Correa \| first2 = P. \| last3 = Dixon \| first3 = MF. \| last4 = Hattori \| first4 = T. \| last5 = Leandro \| first5 = G. \| last6 = Lewin \| first6 = K. \| last7 = Riddell \| first7 = RH. \| last8 = Sipponen \| first8 = P. \| last9 = Watanabe \| first9 = H. \| title = Gastric dysplasia: the Padova international classification. \| journal = Am J Surg Pathol \| volume = 24 \| issue = 2 \| pages = 167-76 \| month = Feb \| year = 2000 \| doi = \| PMID = 10680883 }}</ref>
	*Polypoid forms are grouped various ways.<ref name=pmid18384215>{{Cite journal \| last1 = Park \| first1 = do Y. \| last2 = Lauwers \| first2 = GY. \| title = Gastric polyps: classification and management. \| journal = Arch Pathol Lab Med \| volume = 132 \| issue = 4 \| pages = 633-40 \| month = Apr \| year = 2008 \| doi = 10.1043/1543-2165(2008)132[633:GPCAM]2.0.CO;2 \| PMID = 18384215 \| ~~url=http://www.archivesofpathology.org/doi/full/10.1043/1543-2165(2008)132%5B633:GPCAM%5D2.0.CO;2 }}</ref>~~

	~~====Grading====~~
	~~Like in the colon - they are divided into:~~
	*Low grade.
	*High grade.

	~~====Subclassification====~~
	~~One subclassification:<ref>URL: [http://surgpathcriteria.stanford.edu/gitumors/gastric-adenoma/printable.html http://surgpathcriteria.stanford.edu/gitumors/gastric-~~adenoma~~/printable.html]. Accessed on: 18 December 2012.</ref>~~
	*Intestinal: goblet cells or [[Paneth cell]]s.
	**Not associated with FAP.
	*Gastric: foveolar epithelium.
	**Associated with [[familial adenomatous polyposis]] (FAP).

	~~===Microscopic===~~
	*Histologic criteria similar to columnar dysplasia in the [[esophagus]].
	**The threshold is much lower than in the colon and rectum.

	~~====Foveolar type====~~
	~~Features:~~
	*Hyperchromasia at the surface - '''key feature'''.
	*Cytoplasm with (shortened) champagne flute-like luminal aspect (apical mucin caps).
	*Nuclear changes:
	**Hyperchromasia.
	**Enlargement.
	*No intestinal metaplasia.

	~~DDx:~~
	*[[Gastric carcinoma]].
	*[[Reactive changes]].

	~~====Intestinal type====~~
	~~Features - intestinal:~~
	*[[Intestinal metaplasia of the stomach\|Intestinal metaplasia]].
	*Hyperchromasia of cytoplasm.
	*Nuclear changes:
	**Loss of nuclear polarity.
	**Increased [[NC ratio]].
	**Elongation of nucleus and pseudostratification.

	~~DDx:~~
	*[[Gastric carcinoma]].
	*[[Reactive changes]].
	*[[Intestinal metaplasia of the stomach\|Intestinal metaplasia]].

	~~=====Images=====~~
	~~<gallery>~~
	~~Image:Gastric_adenoma_(1).jpg \| Gastric adenoma. (WC/KGH)~~
	~~Image:Gastric_adenoma_(2).jpg \| Gastric adenoma. (WC/KGH)~~
	~~</gallery>~~
	~~www:~~
	*[http://www.sciencedirect.com/science/article/pii/S1756231710001878 Gastric polyps - several images (sciencedirect.com)].
	*[http://www.archivesofpathology.org/doi/pdf/10.1043/1543-2165%282008%29132%5B633%3AGPCAM%5D2.0.CO%3B2 Gastric polyps - several images (achivesofpathology.org)].

	~~====Grading====~~
	~~=====Low-grade gastric dysplasia=====~~
	~~Features:~~
	*Nuclear changes:
	**Nuclear crowding/pseudostratification with hyperchromasia.
	**Elongation of nuclei (cigar-shaped nuclei).
	**Nuclear stratification intact; nuclei close to the basement membrane.
	*Architecture:
	**Focal irregularities in the glandular contours.

	~~Negatives:~~
	*No desmoplasia.
	*No necrosis.
	*No surface maturation.

	~~DDx:~~
	*Indefinite for dysplasia.
	*High-grade gastric columnar dysplasia - see below.
	**The threshold is much lower than in the colon and rectum!

	~~Images:~~
	*[http://path.upmc.edu/cases/case431.html Low-grade gastric columnar dysplasia - several images (upmc.edu)].
	*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204467/figure/F4/ Gastric low-grade dysplasia (nih.gov)].<ref name=pmid22076218>{{Cite journal \| last1 = Kushima \| first1 = R. \| last2 = Kim \| first2 = KM. \| title = Interobserver Variation in the Diagnosis of Gastric Epithelial Dysplasia and Carcinoma between Two Pathologists in Japan and Korea. \| journal = J Gastric Cancer \| volume = 11 \| issue = 3 \| pages = 141-5 \| month = Sep \| year = 2011 \| doi = 10.5230/jgc.2011.11.3.141 \| PMID = 22076218 }}</ref>
	~~=====High-grade gastric dysplasia=====~~
	~~Features:~~
	*Nuclear changes:
	**Round hyperchromatic nuclei.
	**Loss of normal nuclear stratification.
	*Architecture:
	**Irregularities in the glandular contours.
	**Back-to-back glands.
	**+/-Cribriforming of the glands.
	**+/-Necrosis.

	~~Negatives:~~
	*No [[desmoplasia]].

	~~DDx:~~
	*Low-grade gastric columnar dysplasia.
	*[[Gastric adenocarcinoma]].

	~~=====Images=====~~
	~~<gallery>~~
	~~Image:High_grade_gastric_dysplasia_-_low_mag.jpg \| High grade gastric dysplasia - low mag. (WC/Nephron)~~
	~~Image:High_grade_gastric_dysplasia_-_very_high_mag.jpg \| High grade gastric dysplasia - very high mag. (WC/Nephron)~~
	~~</gallery>~~
	~~www:~~
	*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404600/figure/F8/ Gastric high-grade dysplasia - probably (nih.gov)].<ref name=pmid22188910>{{Cite journal \| last1 = Correa \| first1 = P. \| last2 = Piazuelo \| first2 = MB. \| title = The gastric precancerous cascade. \| journal = J Dig Dis \| volume = 13 \| issue = 1 \| pages = 2-9 \| month = Jan \| year = 2012 \| doi = 10.1111/j.1751-2980.2011.00550.x \| PMID = 22188910 }}~~</ref>~~
	*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204467/figure/F7/ Gastric high-grade dysplasia - probably (nih.gov)].
	*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204467/figure/F6/ Gastric high-grade dysplasia (nih.gov)].<ref name=pmid22076218/>

	~~===Sign out===~~
	~~====Indefinite for dypslasia====~~
	~~<pre>~~
	~~STOMACH, ANTRUM, BIOPSIES:~~
	~~- ANTRAL-TYPE MUCOSA INDEFINITE FOR DYSPLASIA WITH MODERATE CHRONIC INFLAMMATION.~~
	~~- EXTENSIVE INTESTINAL METAPLASIA.~~
	~~- NEGATIVE FOR HELICOBACTER-LIKE ORGANSIMS.~~
	~~- NEGATIVE FOR MALIGNANCY.~~
	~~</pre>~~

	~~====Intestinal type====~~
	~~<pre>~~
	~~STOMACH, ANTRUM, BIOPSIES:~~
	~~- ANTRAL-TYPE MUCOSA WITH FOCUS OF LOW-GRADE DYSPLASIA (INTESTINAL TYPE).~~
	~~- EXTENSIVE INTESTINAL METAPLASIA.~~
	~~- MODERATE CHRONIC INFLAMMATION.~~
	~~- NEGATIVE FOR HELICOBACTER-LIKE ORGANSIMS.~~
	~~- NEGATIVE FOR MALIGNANCY.~~
	~~</pre>~~

	~~====Foveolar type====~~
	~~<pre>~~
	~~STOMACH POLYP, EXCISION:~~
	~~- ADENOMATOUS POLYP, FOVEOLAR TYPE.~~
	~~- NEGATIVE FOR HIGH-GRADE DYSPLASIA.~~
	~~- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.~~
	~~</pre>~~

	~~====Foveolar type with high-grade dysplasia====~~
	~~<pre>~~
	~~STOMACH POLYP, EXCISION:~~
	~~- LARGE ADENOMATOUS POLYP (FOVEOLAR TYPE) WITH HIGH-GRADE DYSPLASIA.~~
	~~- NEGATIVE FOR MALIGNANCY.~~
	~~</pre>~~

	==Gastric neuroendocrine tumour==		==Gastric neuroendocrine tumour==

Alessandro: /* Stomach versus intestine */ correct typo

2019-02-13T12:56:20Z

Stomach versus intestine: correct typo

← Older revision		Revision as of 12:56, 13 February 2019
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	Notes:		Notes:
	*Intraepithelial lymphocytes in the gastric mucosa have a clear halo around 'em.<ref>Sternberg H4P 2nd Ed., P.484</ref>		*Intraepithelial lymphocytes in the gastric mucosa have a clear halo around 'em.<ref>Sternberg H4P 2nd Ed., P.484</ref>
	*Memory device: '''F'''~~olveolar~~ cells have '''f'''riends, i.e. they are close to other foveolar cells.		*Memory device: '''F'''oveolar cells have '''f'''riends, i.e. they are close to other foveolar cells.

	===Gastric antrum versus gastric body===		===Gastric antrum versus gastric body===

Michael: /* Sleeve gastrectomy */ split out

2018-05-02T14:16:29Z

Sleeve gastrectomy: split out

← Older revision		Revision as of 14:16, 2 May 2018
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	====Sleeve gastrectomy====		====Sleeve gastrectomy====
	*Indication: morbid [[obesity]].		{{Main\|Sleeve gastrectomy}}
	*The prevalence of [[Helicobacter gastritis]] is 33-44%.<ref name=pmid23386918>{{~~cite journal~~ \|author=Albawardi A, Almarzooqi S, Torab FC \|title=Helicobacter pylori in sleeve gastrectomies: prevalence and rate of complications \|journal=Int J Clin Exp Med \|volume=6 \|issue=2 \|pages=140–3 \|year=2013 \|pmid=23386918 \|pmc=3560499 \|doi= \|url=}}</ref><ref name=pmid24158738>{{cite journal \|author=Onzi TR, d'Acampora AJ, de Araújo FM, ''et al.'' \|title=Gastric histopathology in laparoscopic sleeve gastrectomy~~: pre- and post-operative comparison \|journal=Obes Surg \|volume=24 \|issue=3 \|pages=371–6 \|year=2014 \|month=March \|pmid=24158738 \|doi=10.1007/s11695-013-1107-8 \|url=~~}}~~</ref>~~
	*[[GIST]]s are seen in 0.6% of cases (based on a series of 827 patients<ref>{{Cite journal \| last1 = Yuval \| first1 = JB. \| last2 = Khalaileh \| first2 = A. \| last3 = Abu-Gazala \| first3 = M. \| last4 = Shachar \| first4 = Y. \| last5 = Keidar \| first5 = A. \| last6 = Mintz \| first6 = Y. \| last7 = Nissan \| first7 = A. \| last8 = Elazary \| first8 = R. \| title = The True Incidence of Gastric GIST-a Study Based on Morbidly Obese Patients Undergoing Sleeve Gastrectomy. \| journal = Obes Surg \| volume = \| issue = \| pages = \| month = Jun \| year = 2014 \| doi = 10.1007/s11695-014-1336-5 \| PMID = 24965544 }}</ref>).

	~~=====Sign out=====~~
	~~<pre>~~
	~~Partial Stomach, Sleeve Gastrectomy:~~
	~~- Stomach wall within normal limits.~~
	~~</pre>~~

	~~<pre>~~
	~~Partial Stomach, Sleeve Gastrectomy:~~
	~~- Stomach wall with a small quantity of INTESTINAL METAPLASIA and~~
	~~moderate (mucosa confined) chronic inactive inflammation.~~
	~~- Fundic gland polyp.~~
	~~- NEGATIVE for Helicobacter-like organisms.~~
	~~- NEGATIVE for dysplasia and NEGATIVE for malignancy.~~
	~~</pre>~~

	~~<pre>~~
	~~Partial Stomach, Sleeve Gastrectomy:~~
	~~- Stomach wall with abundant HELICOBACTER-LIKE ORGANISMS and moderate chronic active~~
	~~inflammation of the mucosa.~~
	~~- NEGATIVE for intestinal metaplasia.~~
	~~- NEGATIVE for dysplasia and NEGATIVE for malignancy.~~
	~~</pre>~~

	~~=====Block letters=====~~
	~~<pre>~~
	~~STOMACH, GREATER CURVE, SLEEVE GASTRECTOMY:~~
	~~- STOMACH WALL WITHIN NORMAL LIMITS.~~
	~~</pre>~~

	=Introduction=		=Introduction=

Michael: /* Sign out */

2018-05-02T14:11:57Z

Sign out

← Older revision		Revision as of 14:11, 2 May 2018
Line 167:		Line 167:
	<pre>		<pre>
	Partial Stomach, Sleeve Gastrectomy:		Partial Stomach, Sleeve Gastrectomy:
	- Stomach wall with abundant HELICOBACTER-LIKE ORGANISMS and moderate chronic active inflammation of the mucosa		- Stomach wall with abundant HELICOBACTER-LIKE ORGANISMS and moderate chronic active
	~~and~~ .		inflammation of the mucosa.
	- NEGATIVE for intestinal metaplasia.		- NEGATIVE for intestinal metaplasia.
	- NEGATIVE for dysplasia and NEGATIVE for malignancy.		- NEGATIVE for dysplasia and NEGATIVE for malignancy.

Michael: /* Sign out */

2018-05-02T14:11:18Z

Sign out

← Older revision		Revision as of 14:11, 2 May 2018
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	- NEGATIVE for Helicobacter-like organisms.		- NEGATIVE for Helicobacter-like organisms.
	- NEGATIVE for dysplasia and NEGATIVE for malignancy.		- NEGATIVE for dysplasia and NEGATIVE for malignancy.
			</pre>

			<pre>
			Partial Stomach, Sleeve Gastrectomy:
			- Stomach wall with abundant HELICOBACTER-LIKE ORGANISMS and moderate chronic active inflammation of the mucosa
			and .
			- NEGATIVE for intestinal metaplasia.
			- NEGATIVE for dysplasia and NEGATIVE for malignancy.
	</pre>		</pre>

Michael: /* Portal hypertensive gastropathy */ split out

2018-02-07T22:46:00Z

Portal hypertensive gastropathy: split out

← Older revision		Revision as of 22:46, 7 February 2018
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	==Portal hypertensive gastropathy==		==Portal hypertensive gastropathy==
	*Abbreviated ''PHG''.		*Abbreviated ''PHG''.
	~~===General===~~		{{Main\|Portal hypertensive gastropathy}}
	*Due to [[portal hypertension]].
	**Usually secondary to [[liver cirrhosis]] which is typically due to [[alcoholism]].
	***Reported in approximately 65% of cirrhotics with portal hypertension in one paper.<ref name=pmid15648238>{{~~Cite journal~~ \| last1 = Mesihovic \| first1 = R. \| last2 = Prohic \| first2 = D. \| last3 = Gribajcevic \| first3 = M. \| last4 = Vanis \| first4 = N. \| last5 = Gornjakovic \| first5 = S. \| last6 = Sarac \| first6 = A. \| title = Portal hypertensive gastropathy ~~(PHG). \| journal = Med Arh \| volume = 58 \| issue = 6 \| pages = 377-9 \| month = \| year = 2004 \| doi = \| PMID = 15648238 }}~~
	~~</ref>~~

	~~===Gross===~~
	Features:<ref name=pmid12492178>{{Cite journal \| last1 = Thuluvath \| first1 = PJ. \| last2 = Yoo \| first2 = HY. \| title = Portal Hypertensive gastropathy. \| journal = Am J Gastroenterol \| volume = 97 \| issue = 12 \| pages = 2973-8 \| month = Dec \| year = 2002 \| doi = 10.1111/j.1572-0241.2002.07094.x \| PMID = 12492178 }}</ref>
	*Mosaic-like pattern.
	**May be referred to as [[Gastric snakeskin appearance\|snakeskin-like pattern]].<ref name=pmid22211417/>
	**Usu. body of stomach.
	*+/-Red spots.

	~~Note:~~
	*May mimic [[eosinophilic gastritis]].<ref name=pmid22211417>{{Cite journal \| last1 = Sikanderkhel \| first1 = S. \| last2 = Luthra \| first2 = M. \| last3 = Chavalitdhamrong \| first3 = D. \| title = Snakeskin-like pattern mimicking portal hypertensive gastropathy in patient with eosinophilic gastritis. \| journal = Dig Endosc \| volume = 24 \| issue = 1 \| pages = 53 \| month = Jan \| year = 2012 \| doi = 10.1111/j.1443-1661.2011.01155.x \| PMID = 22211417 }}</ref>

	~~====Images====~~
	~~<gallery>~~
	~~Image:PHGastro.jpg \| PHG. (WC/Samir)~~
	~~</gallery>~~

	~~===Microscopic===~~
	~~Features:<ref name=Ref_GLP120-1>{{Ref GLP\|120-1}}</ref>~~
	*Dilated capillaries in the submucosa (prominent) and to a lesser extent in the lamina propria - '''key feature'''.

	~~Notes:~~
	*May be associated with [[hyperplastic polyp of the stomach\|hyperplastic]]-like polyps.<ref name=pmid22002002>{{Cite journal \| last1 = Lam \| first1 = MC. \| last2 = Tha \| first2 = S. \| last3 = Owen \| first3 = D. \| last4 = Haque \| first4 = M. \| last5 = Chatur \| first5 = N. \| last6 = Gray \| first6 = JR. \| last7 = Yoshida \| first7 = EM. \| title = Gastric polyps in patients with portal hypertension. \| journal = Eur J Gastroenterol Hepatol \| volume = 23 \| issue = 12 \| pages = 1245-9 \| month = Nov \| year = 2011 \| doi = 10.1097/MEG.0b013e32834c15cf \| PMID = 22002002 }}</ref>
	**Subepithelial [[granulation tissue]] and vascular proliferation.
	*Findings in mucosal biopsies are often [[specificity\|nonspecific]], i.e. not diagnostic.<ref name=Ref_GLP120-1>{{Ref GLP\|120-1}}~~</ref>~~

	~~DDx:~~
	*[[Gastric antral vascular ectasia]] - have thrombi in the dilated blood vessels.

	~~===Sign out===~~
	~~<pre>~~
	~~STOMACH, BIOPSY:~~
	~~- ANTRAL-TYPE AND BODY-TYPE GASTRIC MUCOSA WITH PROMINENT CAPILLARIES~~
	~~AND MODERATE CHRONIC INACTIVE INFLAMMATION.~~
	~~- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.~~
	~~- NEGATIVE FOR INTESTINAL METAPLASIA.~~
	~~- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.~~

	~~COMMENT:~~
	~~No fibrin thrombi are seen. The findings are compatible with portal hypertension.~~
	~~Clinical correlation is required.~~
	~~</pre>~~

	~~====Hyperplastic-like polyp====~~
	~~<pre>~~
	~~POLYP, STOMACH, BIOPSY:~~
	~~- HYPERPLASTIC-LIKE POLYP WITH PROMINENT VESSELS, EDEMA AND AN ERODED SURFACE WITH~~
	~~GRANULATION TISSUE FORMATION, SEE COMMENT.~~
	~~- NEGATIVE FOR HELICOBACTER-LIKE ORGANISMS.~~
	~~- NEGATIVE FOR INTESTINAL METAPLASIA.~~
	~~- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.~~

	~~COMMENT:~~
	~~The polyp is consistent with the type described by Lam et al. in a set of individuals~~
	~~with portal hypertension. (Eur J Gastroenterol Hepatol 23 (12): 1245-9.)~~
	~~</pre>~~

	==Amyloidosis of the stomach==		==Amyloidosis of the stomach==

Michael at 15:43, 5 March 2017

2017-03-05T15:43:48Z

← Older revision		Revision as of 15:43, 5 March 2017
Line 701:		Line 701:
	Others:		Others:
	*CD3 (T cells) - scatter positivity.		*CD3 (T cells) - scatter positivity.
	*CD20 (B cells) +ve.		*[[CD20]] (B cells) +ve.
	*CD138 (plasma cells).		*CD138 (plasma cells).
	*kappa, lambda -- often one is predominant, suggesting clonality.		*kappa, lambda -- often one is predominant, suggesting clonality.

Michael: /* Sleeve gastrectomy */

2015-11-08T14:58:15Z

Sleeve gastrectomy

← Older revision		Revision as of 14:58, 8 November 2015
Line 150:		Line 150:
	*[[GIST]]s are seen in 0.6% of cases (based on a series of 827 patients<ref>{{Cite journal \| last1 = Yuval \| first1 = JB. \| last2 = Khalaileh \| first2 = A. \| last3 = Abu-Gazala \| first3 = M. \| last4 = Shachar \| first4 = Y. \| last5 = Keidar \| first5 = A. \| last6 = Mintz \| first6 = Y. \| last7 = Nissan \| first7 = A. \| last8 = Elazary \| first8 = R. \| title = The True Incidence of Gastric GIST-a Study Based on Morbidly Obese Patients Undergoing Sleeve Gastrectomy. \| journal = Obes Surg \| volume = \| issue = \| pages = \| month = Jun \| year = 2014 \| doi = 10.1007/s11695-014-1336-5 \| PMID = 24965544 }}</ref>).		*[[GIST]]s are seen in 0.6% of cases (based on a series of 827 patients<ref>{{Cite journal \| last1 = Yuval \| first1 = JB. \| last2 = Khalaileh \| first2 = A. \| last3 = Abu-Gazala \| first3 = M. \| last4 = Shachar \| first4 = Y. \| last5 = Keidar \| first5 = A. \| last6 = Mintz \| first6 = Y. \| last7 = Nissan \| first7 = A. \| last8 = Elazary \| first8 = R. \| title = The True Incidence of Gastric GIST-a Study Based on Morbidly Obese Patients Undergoing Sleeve Gastrectomy. \| journal = Obes Surg \| volume = \| issue = \| pages = \| month = Jun \| year = 2014 \| doi = 10.1007/s11695-014-1336-5 \| PMID = 24965544 }}</ref>).

			=====Sign out=====
	<pre>		<pre>
	Partial Stomach, Sleeve Gastrectomy:		Partial Stomach, Sleeve Gastrectomy:

Michael: /* Sleeve gastrectomy */ tweak

2015-09-18T14:30:19Z

Sleeve gastrectomy: tweak

← Older revision		Revision as of 14:30, 18 September 2015
Line 151:		Line 151:

	<pre>		<pre>
	Stomach, Sleeve Gastrectomy:		Partial Stomach, Sleeve Gastrectomy:
	- Stomach wall within normal limits.		- Stomach wall within normal limits.
			</pre>

			<pre>
			Partial Stomach, Sleeve Gastrectomy:
			- Stomach wall with a small quantity of INTESTINAL METAPLASIA and
			moderate (mucosa confined) chronic inactive inflammation.
			- Fundic gland polyp.
			- NEGATIVE for Helicobacter-like organisms.
			- NEGATIVE for dysplasia and NEGATIVE for malignancy.
	</pre>		</pre>