Gastric adenocarcinoma in the excluded stomach 18 years after bariatric surgery: a case report

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 endosco...

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Detalles Bibliográficos
Autores principales: Piltcher-da-Silva, Rodrigo, Sasaki, Vivian Laís, Bettini, Luiz Francisco Cravo, Jasinski, Gabriel, Bodanese, Beatriz Carolina Schuta, Rhoden, Guilherme Vieceli, dos Passos, Tiago Zibetti, Gomes, Guilherme Francisco, Santos, Quézia Tizo, Aguilera, Yan Sacha Hass, Paulin, João Augusto Nocera, Coelho, Júlio Cezar Uili
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491867/
https://www.ncbi.nlm.nih.gov/pubmed/36158245
http://dx.doi.org/10.1093/jscr/rjac448
Descripción
Sumario: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.

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