The Evaluation and Management of Suspicious Gastric Lesions Following Bariatric Surgery.
Obesity has reached epidemic proportions worldwide and is associated with a higher mortality from several diseases, including adenocarcinoma of the esophagus and of the gastric cardia. Increased body mass index is associated with an increased incidence of gastroesophageal reflux disease (GERD), Barrett metaplasia, and adenocarcinoma of the cardia. Bariatric surgery remains the most effective therapy for morbid obesity and has the potential to improve weight-related GERD. A high index of suspicion is paramount for early detection of foregut neoplasia after bariatric surgery.
General Surgery, The University of Texas Medical Branch, Galveston, TX, USA. Electronic address: ggomez@utmb.edu.
Guillermo
G
Gomez
D000230:Adenocarcinoma / Q000175:diagnosis / Q000209:etiology; D050110:Bariatric Surgery; D001471:Barrett Esophagus / Q000175:diagnosis / Q000209:etiology; D002299:Cardia / Q000601:surgery; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D033162:Incidental Findings; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000209:etiology
Bariatric surgery; Barrett metaplasia; Gastric lesions; Gastroesophageal reflux disease