Gastric adenocarcinoma in the excluded stomach 18 years after bariatric surgery: a case report.
Rodrigo Piltcher -da-SilvaVivian Laís SasakiLuiz Francisco Cravo BettiniGabriel JasinskiBeatriz Carolina Schuta BodaneseGuilherme Vieceli RhodenTiago Zibetti Dos PassosGuilherme Francisco GomesQuézia Tizo SantosYan Sacha Hass AguileraJoão Augusto Nocera PaulinJúlio Cezar Uili CoelhoPublished in: Journal of surgical case reports (2022)
Gastric cancer (GC) ranks fourth in overall cancer mortality. Bariatric surgical procedures, especially the gastric bypass surgery (GBS), raise a concern about the risk of GC in the excluded stomach (ES). Diagnosis of GC in the ES is challenging due to anatomical changes and impossibility of endoscopic access to the ES. There are few reports of GC after GBS, and it occurs more in the gastric stump than in the ES. We report a case of a 54-year-old female with GC in the ES 18 years after GBS. The increasing number of GBS and the aggressiveness of the GC show how relevant this case is to emphasize the need to consider this diagnosis in patients who develop upper abdominal symptoms, anemia or weight loss.
Keyphrases
- gastric bypass
- weight loss
- gas chromatography
- roux en y gastric bypass
- bariatric surgery
- squamous cell carcinoma
- obese patients
- chronic kidney disease
- type diabetes
- cardiovascular events
- radiation therapy
- cardiovascular disease
- risk factors
- coronary artery disease
- young adults
- skeletal muscle
- rectal cancer
- liquid chromatography