Gastric adenocarcinoma in the excluded stomach 18 years after bariatric surgery: a case report.

Autor: Piltcher-da-Silva R; General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Sasaki VL; General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Bettini LFC; General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Jasinski G; General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Bodanese BCS; General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Rhoden GV; General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Dos Passos TZ; Digestive Endoscopy Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Gomes GF; Digestive Endoscopy Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Santos QT; Radiology Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Aguilera YSH; General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Paulin JAN; General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil., Coelho JCU; General and Digestive Surgery Service, Hospital Nossa Senhora das Graças, Curitiba, Brazil.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2022 Sep 20; Vol. 2022 (9), pp. rjac448. Date of Electronic Publication: 2022 Sep 20 (Print Publication: 2022).
DOI: 10.1093/jscr/rjac448
Abstrakt: Gastric cancer (GC) ranks fourth in overall cancer mortality. Bariatric surgical procedures, especially the gastric bypass surgery (GBS), raise a concern about the risk of GC in the excluded stomach (ES). Diagnosis of GC in the ES is challenging due to anatomical changes and impossibility of endoscopic access to the ES. There are few reports of GC after GBS, and it occurs more in the gastric stump than in the ES. We report a case of a 54-year-old female with GC in the ES 18 years after GBS. The increasing number of GBS and the aggressiveness of the GC show how relevant this case is to emphasize the need to consider this diagnosis in patients who develop upper abdominal symptoms, anemia or weight loss.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje