title: Risk of upper gastrointestinal cancer after bariatric operations.
abstract: The authors discuss the potential influence of obesity surgery on the risk of cancer, focusing on the upper GI tract directly affected by operations. There is currently no substantiation for an increased risk of cancer after bariatric surgery, because there are only about 25 reports of subsequent cancer of the esophagus and the stomach. However, this review emphasizes the need to detect potential precancerous conditions before surgery. Candidates for postoperative endoscopic surveillance may include patients >15 years after gastric surgery, but also patients symptomatic for gastroesophageal reflux disease in whom a high incidence of Barrett's metaplasia has been reported. The greatest concern is a delay in diagnosis from inadequate investigation due to mistaking serious upper GI symptoms as a consequence of the past operation.
authors.affiliation: Department of Abdominal Surgery and Transplantation, Centre Hospitalier Universitaire de Liège, University of Liège, Liège, Belgium. A.DeRoover@chu.ulg.ac.be
authors.forename: Arnaud
authors.initials: A
authors.lastname: De Roover
authors.forename: Olivier
authors.initials: O
authors.lastname: Detry
authors.forename: Claude
authors.initials: C
authors.lastname: Desaive
authors.forename: Sylvie
authors.initials: S
authors.lastname: Maweja
authors.forename: Carla
authors.initials: C
authors.lastname: Coimbra
authors.forename: Pierre
authors.initials: P
authors.lastname: Honoré
authors.forename: Michel
authors.initials: M
authors.lastname: Meurisse
mesh_terms: D050110:Bariatric Surgery / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005770:Gastrointestinal Neoplasms / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications; D012307:Risk Factors