title: Laparoscopic Roux-en-Y gastric bypass with subtotal gastrectomy.
abstract: Laparoscopic gastric bypass is a common procedure for morbid obesity. After gastric bypass, the distal stomach is unavailable for surveillance. When a suspicious distal gastric lesion is present preoperatively, a distal subtotal gastrectomy may be needed. Herein we describe such a case performed laparoscopically. Laparoscopic gastric bypass with subtotal gastrectomy for morbid obesity should be considered for patients with suspicious distal gastric lesions.
authors.affiliation: Section of Minimally Invasive Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN 38163, USA. amadan@utmem.edu
authors.forename: Atul K
authors.initials: AK
authors.lastname: Madan
authors.forename: Brock J
authors.initials: BJ
authors.lastname: Lanier
authors.forename: David S
authors.initials: DS
authors.lastname: Tichansky
authors.forename: Craig A
authors.initials: CA
authors.lastname: Ternovits
mesh_terms: D000713:Anastomosis, Roux-en-Y; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D013274:Stomach Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D015431:Weight Loss