Incidental gastric gastrointestinal stromal tumor (GIST) in the excluded stomach after Roux- en-Y gastric bypass: A case report and review of the literature

Abellán, Israel; Angulo, David Ruíz de; Parrilla, Pascual

doi:10.1016/j.soard.2013.07.006

Cited by 21 publications

(10 citation statements)

References 14 publications

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“…GISTs are rare malignant tumors, with only two case reported in the literature after bariatric surgery according to our knowledge: one after RYGB and one after gastrectomy banding (GB). The mean age at diagnosis of GIST after bariatric surgery among the two cases reported and ours is 49.33 ± 3.67 years, and all of them occurred in women [ 13 , 15 ]. Contrastingly, the literature shows a major prevalence at the age of 60 s for GISTs in general ( Table 1 ) [ 12 ].…”

Section: Discussionmentioning

confidence: 90%

Gastrointestinal stromal tumor of the excluded stomach after Roux-en-Y gastric bypass: A case report and literature review

Nascimento

Macedo

Santa‐Cruz

et al. 2020

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 90%

Gastrointestinal stromal tumor of the excluded stomach after Roux-en-Y gastric bypass: A case report and literature review

Nascimento

Macedo

Santa‐Cruz

et al. 2020

International Journal of Surgery Case Reports

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“…We have excluded 2 studies because of remnant gastric tumour after RYGB was a GIST [16] or a lymphoma [17]. A total of eighteen patients of 15 studies were included in the study.…”

Section: Resultsmentioning

confidence: 99%

Gastric Cancer After Roux-en-Y Gastric Bypass: A Case Report and a Systematic Review

Lancellotti¹,

Coupaye²,

Dior³

et al. 2019

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Background: Gastric carcinoma in the bypassed stomach after Roux en Y gastric bypass (RYGB) is rare, a few cases have been reported since 1991. The symptomatology associated is non-specific and the monitoring of a bypassed stomach is difficult. Case presentation: We present a case of a 57-year-old woman with an early cancer in the bypassed stomach 1 year after bariatric surgery. Method: PubMed, Web of Science and EMBASE databases were revised. Result: up to date, 17 case reports are founded in literature, among theme 15 revealed gastric carcinoma, 1 GIST and 1 lymphoma. In our study were included 18 patients with gastric carcinoma. The interval between bypass surgery and the diagnosis of cancer ranged from 1 to 22 years. Mean patient age was 53.1 years (range: 38-71 years). The most frequent symptom was vague abdominal pain (50%), while only in one case was asymptomatic. In 7 patients (38,9%) the tumor was unresectable. Conclusion: Gastric carcinoma in the bypassed stomach after RYGB is rare and it is difficult to diagnose, and often disease's stage is advanced by the time of diagnosis. The associated symptomalogy is non-specific, and so, it's important to maintain a high clinical suspicion to diagnose it early.

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“…Post-RYGB patients with symptoms that raise concern for gastric malignancy require assessment of the excluded stomach, as non-adenocarcinoma pathologies, such as linitis plastica and gastrointestinal stromal tumors, have been reported [5,6]. Unfortunately, accessing the excluded stomach is challenging because of the altered anatomy following RYGB.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous endoscopy to diagnose malignancy in gastric outlet obstruction of excluded stomach after gastric bypass

Ahmad

Rubin

Kwong

2017

aog

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Gastric cancer in the excluded stomach after Roux-en-Y gastric bypass is a rare finding and most reported diagnoses are made via surgery. Endoscopic access to the excluded stomach is difficult, even with balloon-assisted enteroscopy. We present the case of a 74-year-old woman with malignant gastric outlet obstruction of the excluded stomach, 41 years after Roux-en-Y gastric bypass. Minimally invasive access to the excluded stomach was obtained by placement of a percutaneous gastrostomy tube, followed by insertion of a pediatric gastroscope through the gastrostomy tube tract. This novel approach provides minimally invasive access to the excluded stomach in patients with high suspicion of pathology in the excluded stomach, when balloon-assisted enteroscopy is not technically feasible or available.

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Incidental gastric gastrointestinal stromal tumor (GIST) in the excluded stomach after Roux- en-Y gastric bypass: A case report and review of the literature

Cited by 21 publications

References 14 publications

Gastrointestinal stromal tumor of the excluded stomach after Roux-en-Y gastric bypass: A case report and literature review

Gastrointestinal stromal tumor of the excluded stomach after Roux-en-Y gastric bypass: A case report and literature review

Gastric Cancer After Roux-en-Y Gastric Bypass: A Case Report and a Systematic Review

Percutaneous endoscopy to diagnose malignancy in gastric outlet obstruction of excluded stomach after gastric bypass

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