De novo gastric adenocarcinoma 1 year after sleeve gastrectomy in a transplant patient

International Journal of Surgery Case Reports
M MasrurP C Giulianotti

Abstract

It has been reported in the literature that upper gastrointestinal malignancies after bariatric surgery are mostly gastro-esophageal, although it is not clear whether bariatric surgery represents a risk factor for the development of esophageal and/or gastric cancer. We report a case of a de novo gastric adenocarcinoma occurring in a transplant patient 1 year after a laparoscopic sleeve gastrectomy. A 44 year-old woman with a BMI of 38kg/m(2), hypertension, type 1 diabetes mellitus, multiple malignancies and a pancreas transplant underwent laparoscopic sleeve gastrectomy. The patient presented with intense dysphagias during the follow up. Studies were performed and the diagnoses of grade 2/3 adenocarcinoma were made. The patient underwent a robotic assisted total gastrectomy with a roux-en-y intracorporeal esophagojejunostomy. The procedure resulted in multiple metastasic lymph nodes, focal and transmural invasions to multiple organs with a tumor free margin resection. The patient presented with a postoperative pleural effusion, with no further complications. The diagnosis of gastroesophageal cancer after bariatric surgery is usually late since these patients have common upper gastrointestinal symptoms related to the procedure t...Continue Reading

References

Jan 29, 2008·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Christian C AbnetArthur Schatzkin
Dec 4, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Anke F ScheepersSimon W Nienhuijs
Jan 18, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Raul J RosenthalNatan Zundel
Mar 1, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·E Fernando ElliPier C Giulianotti
Dec 26, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Gitana ScozzariMario Morino
Dec 21, 2013·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Luigi AngrisaniPaola Iovino

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Citations

Jun 9, 2019·Obesity Surgery·Reza EbrahimiAbdolreza Pazouki
May 28, 2019·Obesity Surgery·Mario MusellaGiovanni Domenico De Palma
Dec 12, 2019·Asian Journal of Endoscopic Surgery·Takeshi YamashitaWeng H Chan
Aug 18, 2020·Gastrointestinal Endoscopy·Bashar J QumseyaPeter V Draganov
Mar 1, 2021·Obesity Surgery·Matías OrellanaRodrigo Muñoz
Apr 23, 2021·Cancer Management and Research·Wenhui ChenZhiyong Dong

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