Esophageal adenocarcinoma five years after laparoscopic sleeve gastrectomy. A case report
| Autor: | Santiago Lenzi, Fernando Wright, Juan Rodolfo Medici, Demetrio Cavadas, Axel Beskow, Agustin Duro |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Sleeve gastrectomy medicine.medical_treatment Esophageal adenocarcinoma 030209 endocrinology & metabolism Case Report Gastroesophageal reflux disease 03 medical and health sciences 0302 clinical medicine Weight loss medicine Barrett’s esophagus Esophagus Bariatric surgery Laparoscopic sleeve gastrectomy medicine.diagnostic_test business.industry General surgery digestive oral and skin physiology Reflux medicine.disease digestive system diseases Endoscopy medicine.anatomical_structure Barrett's esophagus 030211 gastroenterology & hepatology Surgery medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • There is big concern about reflux appearance after sleeve gastrectomy. • Chronic reflux increases risk of esophageal adenocarcinoma. • We present a case of an esophageal adenocarcinoma after sleeve gastrectomy. • Relationship between sleeve gastrectomy and reflux needs further study. Introduction 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. Presentation of case 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. Discussion 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. Conclusion 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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