Objective: This study was carried out to evaluate the spectrum of histopathological lesions in laparoscopic sleeve gastrectomies in morbidly obese patients at a tertiary care hospital in rural Haryana. Methodology: It was a retrospective study conducted in the department of pathology, WCMSRH, Jhajjar, Haryana, over a period of two years (Dec 2016 to Nov 2018). A total of 24 morbidly obese patients underwent sleeve gastrectomies during this period. Histopathological evaluation of all the specimens was carried out and their relation with BMI (Body mass index), age and gender were evaluated. Result: The mean age and BMI were 36. 5 years and 45.2 respectively. Females comprised 70.83% of the sample. Out of total 24 sleeve gastrectomy specimens, 21 showed histopathologic changes, which were categorised as Chronic inactive gastritis (50%), Chronic active gastritis (16.6%), Follicular gastritis (8.3%), Lymphoid aggregates (8.3%) and Intestinal metaplasia (4.16%). Follicular gastritis and intestinal metaplasia were seen only in female patients. Chronic active gastritis was seen in patients with high BMI. Three cases (12.5%) did not show any significant pathology. Conclusion: The sleeve gastrectomy specimens mainly presented with a spectrum of gastritis and chronic inactive gastritis was seen in 50% of the specimens.

Keywords: Laparoscopic Sleeve Gastrectomy; Gastritis; Morbid Obesity