title: Gastric carcinoid and obesity: association or coincidence? Report of two cases and literature review.
abstract: Bariatric surgery is a prevalent procedure due to the high incidence of obesity and comorbidities. Upper gastrointestinal endoscopy is one of the procedures used to evaluate the patient before surgery. However, its role is questionable. The incidental findings during endoscopy are variable including inflammatory diseases, and ulcers, and epithelial and stromal tumors. Herein a report of two obese sisters with incidental gastric carcinoids was diagnosed in prebariatric surgery endoscopy. Case Summary. 35- and 41-year-old female patients presented with obesity and BMI of 102 and 46 kg/m(2), respectively. Both patients underwent upper gastrointestinal endoscopy as part of presurgical evaluation. Multiple polyps were indentified in both patients, and biopsy was taken. Histological examination revealed tumors that were formed by nests of epithelial cells. The cells have eosinophilic cytoplasm and monomorphic nuclei, typical morphology of neuroendocrine tumors. Conclusions. (1) Upper gastrointestinal endoscopy is an important procedure for prebariatric surgery evaluation. (2) Gastric carcinoid is a rare tumor with higher incidence among obese patients.
authors: Department of Surgery, Farwaniya Hospital, 81004 Sabah Al-Naser, Kuwait.
authors: Obaid
authors: O
authors: Al-Harbi
authors: Mustafa
authors: M
authors: Shakir
authors: Nabeel
authors: N
authors: Al-Brahim
references: Gastrointest Endosc Clin N Am. 2011 Apr;21(2):229-40
references: 21569975
references: Dig Dis Sci. 1997 Nov;42(11):2333-7
references: 9398814
references: Obes Surg. 2012 Apr;22(4):594-6
references: 21887608
references: Cancer. 2003 Feb 15;97(4):934-59
references: 12569593
references: Obes Surg. 2008 Sep;18(9):1067-73
references: 18574642
references: Obes Surg. 2008 Jun;18(6):747-9
references: 18320290
references: Am Surg. 2004 Aug;70(8):684-6
references: 15328800
references: Obes Surg. 2009 Apr;19(4):427-31
references: 18795381
references: Int J Obes. 1990 Aug;14(8):723-31
references: 2228404
references: Obes Surg. 2009 Feb;19(2):247-249
references: 18506551
references: Obes Surg. 2002 Oct;12(5):634-8
references: 12448383
references: Obes Surg. 2007 Jan;17(1):28-34
references: 17355765