Gastric pouch carcinoma after gastric bypass for morbid obesity.
The relationship between bariatric surgery and gastric cancer is conjectural. We present a 52-year-old woman with BMI 45 operated initially by a Lap-Band procedure complicated by gastric wall erosion of the band 9 months later. She was re-operated and the band was removed. She subsequently underwent a Roux-en-Y gastric bypass. 5 years after, gastric carcinoma was discovered in the gastric pouch. Because of varied symptoms following bariatric surgery, patients may not present promptly with symptoms related to a gastric carcinoma.
Trincado
M Toledano
MT
Department of General Surgery, Medina del Campo Hospital (Valladolid), Spain. mtolet@yahoo.es
del Olmo
J C Martin
JC
García Castaño
J
J
Cuesta
C
C
Blanco
J I
JI
Awad
Said
S
Carbajo
M A
MA
D000230:Adenocarcinoma / Q000209:etiology*; D000713:Anastomosis, Roux-en-Y; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology / Q000601:surgery; D005743:Gastrectomy; D015390:Gastric Bypass / Q000009:adverse effects*; D015391:Gastroplasty / Q000009:adverse effects; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D019736:Prostheses and Implants / Q000009:adverse effects; D019919:Prosthesis Implantation / Q000009:adverse effects; D013272:Stomach Diseases / Q000209:etiology / Q000601:surgery; D013274:Stomach Neoplasms / Q000209:etiology*; D016896:Treatment Outcome