Technique of resection of esophageal adenocarcinoma after Roux-en-Y gastric bypass and literature review of esophagogastric tumors after bariatric procedures

Kuruba, Rajesh; Jawad, Mohammed Abed; Karl, Richard C.; Murr, Michel M.

doi:10.1016/j.soard.2009.02.009

Cited by 35 publications

(25 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Currently there is no clear explanation behind the development of cancer in the excluded stomach after bariatric surgery. Some prominent hypotheses include bile reflux, gastric stasis, chronic reflux, dysplasia due to excess intraluminal pressure and ischemia, and metaplasia due to chronic inflammation [3]. Diagnosis can be challenging, as symptoms are nonspecific and often go unrecognized, resulting in a late presentation.…”

Section: Discussionmentioning

confidence: 99%

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

Ahmad

Rubin

Kwong

2017

aog

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

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

Ahmad

Rubin

Kwong

2017

aog

View full text Add to dashboard Cite

show abstract

“…The incidence of esophagogastric cancer after bariatric surgery is rare; however, about 30 cases of adenocarcinoma have been described in the last years [2, 5]. The etiology has not been clearly elucidated, and possible factors could be chronic reflux, stasis of food and acid in the pouch and lower esophagus causing chronic mucosal irritation, and ischemic damage due to the band when it is present [5, 6].…”

Section: Discussionmentioning

confidence: 99%

“…The Roux-en-Y gastric bypass (RYGBP) is the most common procedure currently performed for surgical treatment of morbid obesity. Long-term complications may occur after bariatric surgery but cancer is rare [5]. We report a case of gastric adenocarcinoma after RYGBP and a review of the literature.…”

Section: Introductionmentioning

confidence: 99%

Gastric Adenocarcinoma after Gastric Bypass for Morbid Obesity: A Case Report and Review of the Literature

Ribeiro

Lopes

Neto

et al. 2013

Case Reports in Medicine

View full text Add to dashboard Cite

Gastric adenocarcinoma after gastric bypass for morbid obesity is rare but has been described. The diet restriction, weight loss, and difficult assessment of the bypassed stomach, after this procedure, hinder and delay its diagnosis. We present a 52-year-old man who underwent Roux-en-Y gastric bypass 2 years ago and whose previous upper digestive endoscopy was considered normal. He presented with weight loss, attributed to the procedure, and progressive dysphagia. Upper digestive endoscopy revealed stenosing tumor in gastric pouch whose biopsy showed diffuse-type gastric adenocarcinoma. He underwent total gastrectomy, left lobectomy, distal pancreatectomy and splenectomy, segmental colectomy, and bowel resection with esophagojejunal anastomosis. The histopathological analysis confirmed the presence of gastric cancer. The pathogenesis of gastric pouch adenocarcinoma is discussed with a literature review.

show abstract

“…A hand-sewn side-to-side jejunojejunostomy is performed when the biliopancreatic limb was too narrow to permit a stapled anastomosis. 24 The gastric remnant is mobilized and tacked to the hiatus before the abdomen is closed. A right posterolateral thoracotomy is then performed and the esophagus is resected with linear staplers at the level of the azygos vein.…”

Section: Methodsmentioning

confidence: 99%

“…Colonic interposition has not been reported in an RYGB patient. One patient was diagnosed with metastatic cancer, 24 but the follow-up in the other patient was not reported. 23 …”

Section: Methodsmentioning

confidence: 99%

Benign, Premalignant, and Malignant Lesions Encountered in Bariatric Surgery

Rs¹,

Kini²

2012

JSLS

View full text Add to dashboard Cite

show abstract

Technique of resection of esophageal adenocarcinoma after Roux-en-Y gastric bypass and literature review of esophagogastric tumors after bariatric procedures

Cited by 35 publications

References 28 publications

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

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

Gastric Adenocarcinoma after Gastric Bypass for Morbid Obesity: A Case Report and Review of the Literature

Benign, Premalignant, and Malignant Lesions Encountered in Bariatric Surgery

Contact Info

Product

Resources

About