Early gastric cancer successfully treated by endoscopic submucosal resection 1 year after laparoscopic sleeve gastrectomy with duodenal-jejunal bypass

Asian Journal of Endoscopic Surgery
Yosuke SekiYoshimochi Kurokawa

Abstract

This case involved a 64-year-old female patient with a BMI of 35.3 kg/m2 and poorly controlled type 2 diabetes mellitus. Preoperative upper gastrointestinal endoscopy revealed chronic, atrophic gastritis. Helicobacter pylori antibody was negative. The patient underwent laparoscopic sleeve gastrectomy with duodenal-jejunal bypass as a metabolic surgery to treat obesity and type 2 diabetes mellitus. At 1 year postoperatively, routine endoscopy detected a flat elevated lesion at the distal gastric sleeve, near the posterior wall of the antrum; biopsy revealed adenocarcinoma. Endoscopic submucosal resection was performed without complication. This case shows the advantage of laparoscopic sleeve gastrectomy with duodenal-jejunal bypass in screening the excluded stomach as compared to laparoscopic Roux-en-Y gastric bypass. Therefore, laparoscopic sleeve gastrectomy with duodenal-jejunal bypass can be a viable alternative to laparoscopic Roux-en-Y gastric bypass for regions where gastric cancer is endemic.

References

Sep 15, 2001·The New England Journal of Medicine·N UemuraR J Schlemper
Jul 25, 2009·Obesity Surgery·Kazunori KasamaYoshimochi Kurokawa
Sep 23, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Giulio OrlandoAlessandro Puzziello
Feb 16, 2017·The New England Journal of Medicine·Philip R SchauerUNKNOWN STAMPEDE Investigators
Apr 14, 2017·Obesity Surgery·L AngrisaniN Scopinaro

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Citations

May 26, 2020·Obesity Surgery·Luigi AngrisaniPaola Iovino
Dec 12, 2019·Asian Journal of Endoscopic Surgery·Takeshi YamashitaWeng H Chan
Mar 1, 2021·Obesity Surgery·Matías OrellanaRodrigo Muñoz
Apr 23, 2021·Cancer Management and Research·Wenhui ChenZhiyong Dong

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Related Concepts

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Atrophic Gastritis

Atrophic Gastritis is a process where gastric glandular cells are lost and replaced with firbous tissues, as a result of chronic inflammation. Learn more about Atrophic Gastritis here.

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