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Gastric Cancer in the Excluded Stomach 10 Years after Gastric Bypass.

Tinoco A, Gottardi LF, Boechat ED - Case Rep Surg (2015)

Bottom Line: According to the Brazilian health authorities, around 2,000 new cases of gastric cancer emerge in Brazil per year (Instituto Nacional de Câncer José Alencar Gomes da Silva, 2014).Indeed, gastric cancer constitutes the second most common cause of cancer-related mortality worldwide and 95% of such malignancies are adenocarcinomas (De Roover et al., 2006, and Clark et al., 2006).We report herein a case of gastric adenocarcinoma in the excluded stomach of a patient submitted to RYGB with the purpose of illustrating the difficulty of diagnosing and treating this rare condition.

View Article: PubMed Central - PubMed

Affiliation: Departamento de Cirurgia Minimamente Invasiva, Hospital São José do Avaí, 28300-000 Itaperuna, RJ, Brazil.

ABSTRACT
According to the Brazilian health authorities, around 2,000 new cases of gastric cancer emerge in Brazil per year (Instituto Nacional de Câncer José Alencar Gomes da Silva, 2014). Indeed, gastric cancer constitutes the second most common cause of cancer-related mortality worldwide and 95% of such malignancies are adenocarcinomas (De Roover et al., 2006, and Clark et al., 2006). Roux-en-Y gastric bypass (RYGB) is a procedure frequently employed in bariatric surgery but restricted access to the excluded stomach means that discovery of gastric lesions is difficult, and diagnosis and treatment may be delayed. We report herein a case of gastric adenocarcinoma in the excluded stomach of a patient submitted to RYGB with the purpose of illustrating the difficulty of diagnosing and treating this rare condition.

No MeSH data available.


Related in: MedlinePlus

Abdominal computerized tomography showing (a) distension of the excluded stomach and (b) presence of tumor located in the gastric antrum.
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Related In: Results  -  Collection


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fig1: Abdominal computerized tomography showing (a) distension of the excluded stomach and (b) presence of tumor located in the gastric antrum.

Mentions: Physical examination revealed peristalsis, intense pain on palpation, distended abdomen at the left costal border, and diffuse tympany on percussion. Abdominal computerized tomography (CT) revealed distension of the excluded stomach (Figures 1(a) and 1(b)) and edema in the prepyloric wall. The patient was diagnosed with intestinal obstruction and referred for emergency laparoscopy.


Gastric Cancer in the Excluded Stomach 10 Years after Gastric Bypass.

Tinoco A, Gottardi LF, Boechat ED - Case Rep Surg (2015)

Abdominal computerized tomography showing (a) distension of the excluded stomach and (b) presence of tumor located in the gastric antrum.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4502329&req=5

fig1: Abdominal computerized tomography showing (a) distension of the excluded stomach and (b) presence of tumor located in the gastric antrum.
Mentions: Physical examination revealed peristalsis, intense pain on palpation, distended abdomen at the left costal border, and diffuse tympany on percussion. Abdominal computerized tomography (CT) revealed distension of the excluded stomach (Figures 1(a) and 1(b)) and edema in the prepyloric wall. The patient was diagnosed with intestinal obstruction and referred for emergency laparoscopy.

Bottom Line: According to the Brazilian health authorities, around 2,000 new cases of gastric cancer emerge in Brazil per year (Instituto Nacional de Câncer José Alencar Gomes da Silva, 2014).Indeed, gastric cancer constitutes the second most common cause of cancer-related mortality worldwide and 95% of such malignancies are adenocarcinomas (De Roover et al., 2006, and Clark et al., 2006).We report herein a case of gastric adenocarcinoma in the excluded stomach of a patient submitted to RYGB with the purpose of illustrating the difficulty of diagnosing and treating this rare condition.

View Article: PubMed Central - PubMed

Affiliation: Departamento de Cirurgia Minimamente Invasiva, Hospital São José do Avaí, 28300-000 Itaperuna, RJ, Brazil.

ABSTRACT
According to the Brazilian health authorities, around 2,000 new cases of gastric cancer emerge in Brazil per year (Instituto Nacional de Câncer José Alencar Gomes da Silva, 2014). Indeed, gastric cancer constitutes the second most common cause of cancer-related mortality worldwide and 95% of such malignancies are adenocarcinomas (De Roover et al., 2006, and Clark et al., 2006). Roux-en-Y gastric bypass (RYGB) is a procedure frequently employed in bariatric surgery but restricted access to the excluded stomach means that discovery of gastric lesions is difficult, and diagnosis and treatment may be delayed. We report herein a case of gastric adenocarcinoma in the excluded stomach of a patient submitted to RYGB with the purpose of illustrating the difficulty of diagnosing and treating this rare condition.

No MeSH data available.


Related in: MedlinePlus