Gastric Cancer After Roux-en-Y Gastric Bypass: A Case Report and a Systematic Review
Journal of Surgery
Volume 7, Issue 6, December 2019, Pages: 163-167
Received: Sep. 29, 2019;
Accepted: Oct. 30, 2019;
Published: Nov. 6, 2019
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Lancellotti Francesco, Department of Surgical Sciences, Sapienza University of Rome, Viale del Policlinico, Rome, Italy
Coupaye Muriel, Department of Explorations Fonctionnelles, University Paris Diderot, Paris, France
Dior Marie, Gastroenterology and Endoscopy Department, University Paris Diderot, Paris, France
Calabrese Daniela, Department of Digestive Surgery, University Paris Diderot, Paris, France
Background: Gastric carcinoma in the bypassed stomach after Roux en Y gastric bypass (RYGB) is rare, a few cases have been reported since 1991. The symptomatology associated is non-specific and the monitoring of a bypassed stomach is difficult. Case presentation: We present a case of a 57-year-old woman with an early cancer in the bypassed stomach 1 year after bariatric surgery. Method: PubMed, Web of Science and EMBASE databases were revised. Result: up to date, 17 case reports are founded in literature, among theme 15 revealed gastric carcinoma, 1 GIST and 1 lymphoma. In our study were included 18 patients with gastric carcinoma. The interval between bypass surgery and the diagnosis of cancer ranged from 1 to 22 years. Mean patient age was 53.1 years (range: 38-71 years). The most frequent symptom was vague abdominal pain (50%), while only in one case was asymptomatic. In 7 patients (38,9%) the tumor was unresectable. Conclusion: Gastric carcinoma in the bypassed stomach after RYGB is rare and it is difficult to diagnose, and often disease’s stage is advanced by the time of diagnosis. The associated symptomalogy is non-specific, and so, it’s important to maintain a high clinical suspicion to diagnose it early.
Gastric Cancer After Roux-en-Y Gastric Bypass: A Case Report and a Systematic Review, Journal of Surgery.
Vol. 7, No. 6,
2019, pp. 163-167.
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