Band Erosion with Gastric Cancer

Hackert, T.; Dietz, Matthew J.; Tjaden, Christin; Sieg, Andreas; Mw, Büchler; Schmidt, J

doi:10.1381/096089204323013622

Cited by 32 publications

(18 citation statements)

References 19 publications

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“…After restrictive bariatric operations, cancer has been reported in individual cases [1,3,[5][6][7][9][10][11]. A potential mechanism leading to cancer could be the prolonged contact of food containing exogenous carcinogenic factors in the gastric pouch.…”

Section: Discussionmentioning

confidence: 99%

“…Carcinogenesis theories include chronic inflammatory changes leading to an intracellular dysregulation between reactive oxygen radicals and antioxidant substances. These changes are suspected to cause DNA mutations with consecutive gene regulation defects [6].…”

Section: Discussionmentioning

confidence: 99%

“…In Europe, gastric banding is the most frequently performed bariatric operation. The risk of esophageal and gastric cancer, especially after restrictive procedures, has only been reported in case reports and in one review [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

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Gastric Cancer After Laparoscopic Adjustable Gastric Banding

et al. 2008

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A 63-year-old woman with BMI 46 underwent laparoscopic gastric banding. In the standardized follow-up after 14 and 24 months, the GI series and gastroscopy showed no pathological signs. The patient had hematemesis 32 months after gastric banding, followed by symptoms of obstruction, for which a laparotomy was performed. At operation, peritoneal carcinomatosis due to gastric cancer was found. Symptoms after bariatric procedures can be similar to symptoms of gastric or esophageal cancer. We believe that yearly postoperative gastroscopy is indicated to exclude pathological changes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Gastric Cancer After Laparoscopic Adjustable Gastric Banding

et al. 2008

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“…33 Pathologic study demonstrated a poorly differentiated adenocarcinoma with positive perigastric nodes and hepatic metastases.…”

Section: Gastric Cancer After Restrictive Operationsmentioning

confidence: 98%

Risk of Upper Gastrointestinal Cancer after Bariatric Operations

Roover¹,

Detry²,

Desaive³

et al. 2006

obes surg

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The authors discuss the potential influence of obesity surgery on the risk of cancer, focusing on the upper Gl tract directly affected by operations. There is currently no substantiation for an increased risk of cancer after bariatric surgery, because there are only about 25 reports of subsequent cancer of the esophagus and the stomach. However, this review emphasizes the need to detect potential precancerous conditions before surgery. Candidates for postoperative endoscopic surveillance may include patients >15 years after gastric surgery, but also patients symptomatic for gastroesophageal reflux disease in whom a high incidence of Barrett's metaplasia has been reported. The greatest concern is a delay in diagnosis from inadequate investigation due to mistaking serious upper Gl symptoms as a consequence of the past operation.

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“…Four cases of adenocarcinoma of the stomach have been reported after VBG. Two occurred in the gastric pouch, at 2 and 15 years after surgery 11,12 A third lesion appeared in the distal stomach 6 years after VBG, 13 while the fourth patient was diagnosed with a linitis plastica of the entire stomach 13 years after VBG 14 A fifth case of gastric pouch cancer was described 10 years after adjustable gastric banding in a 62-year-old lady 15 Most of the cases were diagnosed with advanced disease, while a non-specific history of epigastric pain, nausea and vomiting had already been present for considerable time before the diagnosis was made.…”

Section: Figure 2 Gist Spindle Cell Tumor With Focal Collagen Deposmentioning

confidence: 99%

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

Roover

Detry²,

Leval³

et al. 2006

obes surg

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We report two new cases of gastric cancer diagnosed after a bariatric operation. The first case is a 66-year-old male who 3 years after gastric bypass suffered from a perforation of the fundus that was found to be secondary to a diffuse large B-cell lymphoma of the distal stomach. The second case is a 47-year-old woman who presented 12 years after a vertical banded gastroplasty with a gastric pouch outlet obstruction caused by a gastrointestinal stromal tumor (GIST). Based on the few reports of cancer in the literature, analysis of these cases suggests that the main risk of gastric cancer after bariatric surgery comes from the delayed diagnosis of malignancy.

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Band Erosion with Gastric Cancer

Cited by 32 publications

References 19 publications

Gastric Cancer After Laparoscopic Adjustable Gastric Banding

Gastric Cancer After Laparoscopic Adjustable Gastric Banding

Risk of Upper Gastrointestinal Cancer after Bariatric Operations

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

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