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Esophageal adenocarcinoma in Barrett’s esophagus after sleeve gastrectomy: Case report and literature review

INTRODUCTION: : Sleeve gastrectomy (SG) has become one of the most dramatically increasing bariatric procedures worldwide due to its excellent results and impact on the obesity pandemic. Morbid obesity is known to increase the risk of esophageal adenocarcinoma. However, the evolution of gastroesopha...

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Autores principales: El Khoury, Lionel, Benvenga, Rosa, Romero, Rodolfo, Cohen, Regis, Roussel, Joel, Catheline, Jean-Marc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198127/
https://www.ncbi.nlm.nih.gov/pubmed/30343262
http://dx.doi.org/10.1016/j.ijscr.2018.10.015
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author El Khoury, Lionel
Benvenga, Rosa
Romero, Rodolfo
Cohen, Regis
Roussel, Joel
Catheline, Jean-Marc
author_facet El Khoury, Lionel
Benvenga, Rosa
Romero, Rodolfo
Cohen, Regis
Roussel, Joel
Catheline, Jean-Marc
author_sort El Khoury, Lionel
collection PubMed
description INTRODUCTION: : Sleeve gastrectomy (SG) has become one of the most dramatically increasing bariatric procedures worldwide due to its excellent results and impact on the obesity pandemic. Morbid obesity is known to increase the risk of esophageal adenocarcinoma. However, the evolution of gastroesophageal reflux disease (GERD) along with Barrett’s esophagus (BE) after SG is of concern since there is little data available. We present a case of esophageal adenocarcinoma after SG with known intestinal metaplasia on preoperative gastroscopy. CASE PRESENTATION: : We report a case of a 55 years old female patient who presented lower esophageal adenocarcinoma three years after complicated SG with known preoperative BE without dysplasia detected by gastroscopy. Multidisciplinary decision suggested treatment by endoscopic mucosectomy. The endoscopic control at one year did not highlight tumoral recurrence but still BE without dysplasia. DISCUSSION: : Literature review regarding the evolution of BE after SG is poor and the relation between SG and the development of subsequent esophageal cancer isn’t clear yet. CONCLUSION: : Preoperative endoscopy should be performed in order to detect GERD, BE, and potential carcinomas of the upper gastrointestinal tract before undergoing bariatric surgery. The long-term monitoring after SG is essential.
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spelling pubmed-61981272018-10-25 Esophageal adenocarcinoma in Barrett’s esophagus after sleeve gastrectomy: Case report and literature review El Khoury, Lionel Benvenga, Rosa Romero, Rodolfo Cohen, Regis Roussel, Joel Catheline, Jean-Marc Int J Surg Case Rep Article INTRODUCTION: : Sleeve gastrectomy (SG) has become one of the most dramatically increasing bariatric procedures worldwide due to its excellent results and impact on the obesity pandemic. Morbid obesity is known to increase the risk of esophageal adenocarcinoma. However, the evolution of gastroesophageal reflux disease (GERD) along with Barrett’s esophagus (BE) after SG is of concern since there is little data available. We present a case of esophageal adenocarcinoma after SG with known intestinal metaplasia on preoperative gastroscopy. CASE PRESENTATION: : We report a case of a 55 years old female patient who presented lower esophageal adenocarcinoma three years after complicated SG with known preoperative BE without dysplasia detected by gastroscopy. Multidisciplinary decision suggested treatment by endoscopic mucosectomy. The endoscopic control at one year did not highlight tumoral recurrence but still BE without dysplasia. DISCUSSION: : Literature review regarding the evolution of BE after SG is poor and the relation between SG and the development of subsequent esophageal cancer isn’t clear yet. CONCLUSION: : Preoperative endoscopy should be performed in order to detect GERD, BE, and potential carcinomas of the upper gastrointestinal tract before undergoing bariatric surgery. The long-term monitoring after SG is essential. Elsevier 2018-10-12 /pmc/articles/PMC6198127/ /pubmed/30343262 http://dx.doi.org/10.1016/j.ijscr.2018.10.015 Text en © 2018 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
El Khoury, Lionel
Benvenga, Rosa
Romero, Rodolfo
Cohen, Regis
Roussel, Joel
Catheline, Jean-Marc
Esophageal adenocarcinoma in Barrett’s esophagus after sleeve gastrectomy: Case report and literature review
title Esophageal adenocarcinoma in Barrett’s esophagus after sleeve gastrectomy: Case report and literature review
title_full Esophageal adenocarcinoma in Barrett’s esophagus after sleeve gastrectomy: Case report and literature review
title_fullStr Esophageal adenocarcinoma in Barrett’s esophagus after sleeve gastrectomy: Case report and literature review
title_full_unstemmed Esophageal adenocarcinoma in Barrett’s esophagus after sleeve gastrectomy: Case report and literature review
title_short Esophageal adenocarcinoma in Barrett’s esophagus after sleeve gastrectomy: Case report and literature review
title_sort esophageal adenocarcinoma in barrett’s esophagus after sleeve gastrectomy: case report and literature review
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198127/
https://www.ncbi.nlm.nih.gov/pubmed/30343262
http://dx.doi.org/10.1016/j.ijscr.2018.10.015
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