title: Esophageal adenocarcinoma five years after laparoscopic sleeve gastrectomy. A case report.
abstract: BACKGROUND
  Laparoscopic sleeve gastrectomy has become the most popular bariatric procedure worldwide. However, postoperative gastroesophageal reflux disease appearance is a matter of concern. Only two cases of esophageal adenocarcinoma after gastric sleeve have been described, none of them with preoperative endoscopic evaluation.
  
  
  METHODS
  We report a case of a 48-year-old male with morbid obesity and normal preoperative endoscopy and esophagram who underwent a laparoscopic sleeve gastrectomy and developed an esophageal adenocarcinoma five years later.
  
  
  CONCLUSIONS
  Despite promising results in terms of weight loss and resolution of comorbidities, the onset or worsening of gastroesophageal reflux and its related complications, such as Barrett's esophagus or esophageal adenocarcinoma, is a matter of concern and need further study.
  
  
  CONCLUSIONS
  We present a case of an esophageal adenocarcinoma five years after a laparoscopic sleeve gastrectomy for morbid obesity. There is need to better determine the relationship between sleeve gastrectomy and gastroesophageal reflux disease in order to prevent its related complications, such as esophageal adenocarcinoma.
authors.affiliation: Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD Buenos Aires, Argentina. Electronic address: fernando.wright@hospitalitaliano.org.ar.
authors.forename: Fernando Gabriel
authors.initials: FG
authors.lastname: Wright
authors.affiliation: Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD Buenos Aires, Argentina. Electronic address: agustin.duro@hospitalitaliano.org.ar.
authors.forename: Agustin
authors.initials: A
authors.lastname: Duro
authors.affiliation: Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD Buenos Aires, Argentina. Electronic address: juan.medici@hospitalitaliano.org.ar.
authors.forename: Juan Rodolfo
authors.initials: JR
authors.lastname: Medici
authors.affiliation: Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD Buenos Aires, Argentina. Electronic address: santiago.lenzi@hospitalitaliano.org.ar.
authors.forename: Santiago
authors.initials: S
authors.lastname: Lenzi
authors.affiliation: Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD Buenos Aires, Argentina. Electronic address: axel.beskow@hospitalitaliano.org.ar.
authors.forename: Axel Federico
authors.initials: AF
authors.lastname: Beskow
authors.affiliation: Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD Buenos Aires, Argentina. Electronic address: demetrio.cavadas@hospitalitaliano.org.ar.
authors.forename: Demetrio
authors.initials: D
authors.lastname: Cavadas
keywords: Bariatric surgery; Barrett’s esophagus; Case report; Esophageal adenocarcinoma; Gastroesophageal reflux disease; Sleeve gastrectomy