title: [Gastric adenocarcinoma following "silastic vertical ring gastroplasty": case report].
abstract: OBJECTIVE
  Bariatric surgery is considered as the most effective therapy for morbid obesity. But, each procedure carries both short-and long-term complications. And, it remains unclear if the late occurrence of gastric adenocarcinoma could be linked to bariatric surgery. We described a case of a female who developed a gastric adenocarcinoma after a silastic ring vertical gastroplasty (SRVG).
  
  
  METHODS
  A 54-year-old female presented with postprandial vomiting, poor appetite, dysphagia and weight loss 10 year after a SRVG. A gastroscopy with biopsy disclosed a juxta-pyloric adenocarcinoma. No distant metastasis was found. After 3 cycles of neoadjuvant chemotherapy, a subtotal gastrectomy with Roux-en-Y anastomosis was performed.
  
  
  RESULTS
  After the surgery, a minor anastomotic leak was treated conservatively and a parietal abscess was drained. The pathological studies demonstrated a T2bN1 adenocarcinoma with negative margins. Adjuvant chemotherapy was administered. At the last work up, the patient is disease-free.
  
  
  CONCLUSIONS
  The association between a gastric adenocarcinoma and a bariatric procedure such as a SRVG is difficult to assess without a case-control or a cross-sectional study. Nevertheless, when new upper digestive tract complaints occur in any patient with an otherwise unremarkable bariatric surgery follow-up, the diagnosis of gastric cancer should be bear in mind.
authors.affiliation: Hôpital Erasme, Services de Chirurgie Digestive, Bruxelles. abelhaj@ulb.ac.be
authors.forename: A
authors.initials: A
authors.lastname: Belhaj
authors.forename: L
authors.initials: L
authors.lastname: Memmo
authors.forename: L
authors.initials: L
authors.lastname: Memo
authors.forename: A
authors.initials: A
authors.lastname: Mehdi
authors.forename: F
authors.initials: F
authors.lastname: Mboti
authors.forename: J
authors.initials: J
authors.lastname: Closset
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology*; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000209:etiology*