Gastric and pancreatoduodenal resection for malignant lesions after previous gastric bypass--diagnosis and methods of reconstruction

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
James M SwainMichael G Sarr

Abstract

The diagnosis and treatment of gastric and pancreatoduodenal neoplasms after previous gastric bypass has been limited. Experience should increase in the future owing to the number of bariatric procedures being performed. The diagnosis and resection of these neoplasms and restoration of biliopancreatic intestinal continuity pose challenges. We present a 2-institutional experience of diagnosis and reconstruction after resection of gastric and pancreatoduodenal neoplasms and discuss the technical options for reconstruction. The medical records were reviewed retrospectively from 2003 to 2009 for patients with previous gastric bypass who developed a gastric or pancreatoduodenal neoplasm. Of the available patients, 7 were identified with 2 remnant gastric cancers (2 signet ring cell adenocarcinomas), 4 pancreatic neoplasms (2 adenocarcinomas and 2 neuroendocrine cancers), and 1 ampullary cancer. The gastric neoplasms required complete remnant gastrectomy but did not require additional gastrointestinal reconstruction. The pancreatic and duodenal neoplasms required pancreatoduodenectomy, with 4 of 5 patients also undergoing remnant gastrectomy. The patients after pancreatoduodenectomy required biliary and pancreatic reconstruction with...Continue Reading

References

Oct 17, 2007·Archives of Surgery·Rogerio KugaPaulo Sakai
Oct 17, 2007·Archives of Surgery·Harutaka InoueJacques Marescaux
Oct 24, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Bruce J WatkinsMarvin E Kuehner
Jul 1, 2008·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·John D RutkoskiPhilip F Caushaj

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Citations

Apr 27, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Ioannis TheodoropoulosJames E Gervasoni
Jun 14, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mihir M ShahEdward Lin
Dec 19, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Toshihiro KushibikiSatoshi Hirano
May 21, 2016·Journal of Clinical Gastroenterology·Tom Mala
Aug 15, 2018·World Journal of Surgical Oncology·William F MoranoWilbur B Bowne
Apr 28, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·George YounanKathleen K Christians

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