Journal of Surgery

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Gastric Cancer After Roux-en-Y Gastric Bypass: A Case Report and a Systematic Review

Received: 29 September 2019    Accepted: 30 October 2019    Published: 06 November 2019
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Abstract

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.

DOI 10.11648/j.js.20190706.13
Published in Journal of Surgery (Volume 7, Issue 6, December 2019)
Page(s) 163-167
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Bariatric Surgery, Gastric Cancer, Roux-en-Y Gastric Bypass, Bypassed Stomach

References
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[4] Escalona A, Guzmán S, Ibáñez L et al. Gastric cancer after Roux-en-Y gastric bypass. Obes Surg 2005; 15: 423–427.
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[17] De Roover A, Detry O, de Leval L et al. Report of two cases of gastric cancer after bariatric surgery: lymphoma of the bypassed stomach after Roux-en-Y gastric bypass and gastrointestinal stromal tumor (GIST) after vertical banded gastroplasty. Obes Surg. 2006; 16: 928-31.
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Author Information
  • Department of Surgical Sciences, Sapienza University of Rome, Viale del Policlinico, Rome, Italy

  • Department of Explorations Fonctionnelles, University Paris Diderot, Paris, France

  • Gastroenterology and Endoscopy Department, University Paris Diderot, Paris, France

  • Department of Digestive Surgery, University Paris Diderot, Paris, France

Cite This Article
  • APA Style

    Lancellotti Francesco, Coupaye Muriel, Dior Marie, Calabrese Daniela. (2019). Gastric Cancer After Roux-en-Y Gastric Bypass: A Case Report and a Systematic Review. Journal of Surgery, 7(6), 163-167. https://doi.org/10.11648/j.js.20190706.13

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    ACS Style

    Lancellotti Francesco; Coupaye Muriel; Dior Marie; Calabrese Daniela. Gastric Cancer After Roux-en-Y Gastric Bypass: A Case Report and a Systematic Review. J. Surg. 2019, 7(6), 163-167. doi: 10.11648/j.js.20190706.13

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    AMA Style

    Lancellotti Francesco, Coupaye Muriel, Dior Marie, Calabrese Daniela. Gastric Cancer After Roux-en-Y Gastric Bypass: A Case Report and a Systematic Review. J Surg. 2019;7(6):163-167. doi: 10.11648/j.js.20190706.13

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  • @article{10.11648/j.js.20190706.13,
      author = {Lancellotti Francesco and Coupaye Muriel and Dior Marie and Calabrese Daniela},
      title = {Gastric Cancer After Roux-en-Y Gastric Bypass: A Case Report and a Systematic Review},
      journal = {Journal of Surgery},
      volume = {7},
      number = {6},
      pages = {163-167},
      doi = {10.11648/j.js.20190706.13},
      url = {https://doi.org/10.11648/j.js.20190706.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20190706.13},
      abstract = {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.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Gastric Cancer After Roux-en-Y Gastric Bypass: A Case Report and a Systematic Review
    AU  - Lancellotti Francesco
    AU  - Coupaye Muriel
    AU  - Dior Marie
    AU  - Calabrese Daniela
    Y1  - 2019/11/06
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    DO  - 10.11648/j.js.20190706.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
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    EP  - 167
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    AB  - 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.
    VL  - 7
    IS  - 6
    ER  - 

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