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Carcinoid Syndrome Misdiagnosed as a Malabsorptive Syndrome after Biliopancreatic Diversion

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Abstract

A case is reported of a woman who developed untreatable diarrhea after a prior biliopancreatic diversion (BPD), attributed to the malabsorptive component. Abdominal ultrasound incidentally found focal liver lesions. On fine needle aspiration biopsy, atypia was found, and these hepatic lesions were resected with free margins. The specimen showed liver metastases of an aggressive malignant neuroendocrine neoplasm. The primary site was subsequently identified to be in the pancreas. The physician and surgeon must realize that non-related diseases can develop after bariatric surgery, as in the general population.

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Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Hospital Universitario de Canarias (HUC), Canary Islands, Spain

    E. M. López-Tomassetti Fernández MD, I. Arteaga González MD, H. Díaz Luis MD & A. Carrillo Pallarés MD, PhD

Authors
  1. E. M. López-Tomassetti Fernández MD
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  2. I. Arteaga González MD
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  3. H. Díaz Luis MD
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  4. A. Carrillo Pallarés MD, PhD
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Corresponding author

Correspondence to E. M. López-Tomassetti Fernández MD.

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López-Tomassetti Fernández, E.M., González, I.A., Luis, H.D. et al. Carcinoid Syndrome Misdiagnosed as a Malabsorptive Syndrome after Biliopancreatic Diversion. OBES SURG 17, 989–992 (2007). https://doi.org/10.1007/s11695-007-9157-4

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  • DOI: https://doi.org/10.1007/s11695-007-9157-4

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