Carcinoma of Esophagus after Adjustable Gastric Banding

Abstract

Patients who have undergone gastric banding may develop gastroesophageal reflux disease (GERD) with ulceration. This should be treated with band adjustment, proton pump inhibitors, and routine follow-up endoscopies to confirm healing. Surgical revision or reversal should be considered if the process is resistant to band deflation and medical therapy. Persistent dysphagia must be investigated. A patient is presented whose pre-existing GERD was aggravated by adjustable gastric banding and who developed carcinoma of esophagus with liver metastases 8 years after the insertion of her first band.

Gastric Cancer After Laparoscopic Adjustable Gastric Banding

“…After restrictive bariatric operations, cancer has been reported in individual cases [1,3,[5][6][7][9][10][11]. A potential mechanism leading to cancer could be the prolonged contact of food containing exogenous carcinogenic factors in the gastric pouch.…”

“…In Europe, gastric banding is the most frequently performed bariatric operation. The risk of esophageal and gastric cancer, especially after restrictive procedures, has only been reported in case reports and in one review [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”

The Contribution of Gastric Emptying Scintigraphy to the Treatment of Obesity With Gastric Bandage - Preliminary Results

“…In cases of dysphagia it should be followed up with endoscopic examination of the esophagus to exclude the possibility of hidden symptoms arising from esophageal carcinoma 12 . The ideal operative procedure for obesity would be an operation which is minimally burdened by peri and postoperative complications, least mutilating for the patients' gastrointestinal tract, is reversible if possible and produces a signifi cant reduction in patient body weight.…”

Risk of Upper Gastrointestinal Cancer after Bariatric Operations

“…One case was diagnosed 8 years after adjustable gastric banding with liver metastases. 49 Two cases were diagnosed 14 and 21 years after RYGBP; 50 pathologic study evidenced a T1N0 lesion in the first RYGBP patient, while the second patient presented with an advanced cancer involving in the entire thoracic esophagus that recurred 8 months after resection. This latter patient had been diagnosed with dysplasia 26 months before cancer diagnosis but had failed to comply with the recommended follow-up.…”