title: Linitis plastica of the bypassed stomach 7 years after Roux-en-Y gastric bypass: a case report.
abstract: Laparoscopic Roux-en-Y gastric bypass (RYGB) is currently the preferred surgical procedure to treat morbid obesity. It has proven its effects on excess weight loss and its positive effect on comorbidities. One of the main issues, however, is the post-operative evaluation of the bypassed gastric remnant. In literature, cancer of the excluded stomach after RYGB is rare. We describe the case of a 52-year-old woman with gastric linitis plastica in the bypassed stomach after Roux-en-Y gastric bypass, diagnosed by means of laparoscopy and Single-Balloon enteroscopy, and it is clinical importance. Linitis plastica of the excluded stomach after RYGB is a very rare entity. This case report shows the importance of long-term post-operative follow-up, and the importance of single-balloon enteroscopy for visualization of the bypassed stomach remnant, when other investigations remain without results. This case report is only the second report of a linitis plastica in the bypassed stomach after Roux-en-Y gastric bypass.
authors.affiliation: a Department of General and Abdominal Surgery , St. Dimpna General Hospital , Geel , Belgium.
authors.forename: Filip Wn
authors.initials: FW
authors.lastname: Haenen
authors.affiliation: a Department of General and Abdominal Surgery , St. Dimpna General Hospital , Geel , Belgium.
authors.forename: Ben
authors.initials: B
authors.lastname: Gys
authors.affiliation: b Department of Gastroenterology and Hepatology , Antwerp University Hospital , Antwerp , Belgium.
authors.forename: Tom
authors.initials: T
authors.lastname: Moreels
authors.affiliation: a Department of General and Abdominal Surgery , St. Dimpna General Hospital , Geel , Belgium.
authors.forename: Maartje
authors.initials: M
authors.lastname: Michielsen
authors.affiliation: a Department of General and Abdominal Surgery , St. Dimpna General Hospital , Geel , Belgium.
authors.forename: Tobie
authors.initials: T
authors.lastname: Gys
authors.affiliation: a Department of General and Abdominal Surgery , St. Dimpna General Hospital , Geel , Belgium.
authors.forename: Thierry
authors.initials: T
authors.lastname: Lafullarde
mesh_terms: D014408:Biomarkers, Tumor / Q000097:blood*; D015992:Body Mass Index; D002272:Carcinoembryonic Antigen / Q000097:blood*; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D008039:Linitis Plastica / Q000097:blood / Q000175:diagnosis* / Q000601:surgery*; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000097:blood / Q000175:diagnosis* / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D014408:Biomarkers, Tumor; D002272:Carcinoembryonic Antigen
keywords: Gastric cancer; laparoscopic Roux-en-Y gastric bypass; linitis plastica