title: Laparoscopic solution for early gastric cancer in a morbidly obese patient.
abstract: During preoperative work-up for laparoscopic gastric bypass in a morbidly obese female, gastroscopy visualized two small ulcers in the antrum. Biopsies diagnosed adenocarcinoma of the diffuse type. Staging was performed, and endoscopic ultrasonography showed early gastric cancer. A laparoscopic neartotal gastrectomy with D1 resection and perigastric lymph node dissection and full omentectomy in combination with a gastric bypass, was peformed. This approach respects the oncologic and bariatric principles and gives a combined solution for the patient.
authors.affiliation: Department of Abdominal Surgery AZ Groeninge Campus St.-Niklaas, Kortrijk, Belgium. mathieudhondt2000@yahoo.com
authors.forename: Mathieu
authors.initials: M
authors.lastname: D'Hondt
authors.forename: Frank
authors.initials: F
authors.lastname: Van Rooy
authors.forename: Dirk
authors.initials: D
authors.lastname: Devriendt
authors.forename: Franky
authors.initials: F
authors.lastname: Vansteenkiste
authors.forename: Herwig
authors.initials: H
authors.lastname: Vanhauwaert
mesh_terms: D000230:Adenocarcinoma / Q000453:epidemiology* / Q000601:surgery*; D015897:Comorbidity; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008198:Lymph Nodes / Q000601:surgery; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology*; D013274:Stomach Neoplasms / Q000453:epidemiology* / Q000601:surgery*