The First Case Report of a Carcinoma of the Gastric Cardia (AEG II) After OAGB-MGB
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The scientific dispute over OAGB-MGB is gaining momentum as supporters fiercely advocate its simplicity, safety, and success and opponents obstinately recall the potential risk of the Billroth II reconstruction for chronic biliary reflux and gastroesophageal cancer. Rutledge himself has performed several thousands of these procedures since 1997 and has never observed such a malignancy  nor has gastric cardia or pouch cancer been published by anyone else . We herein describe a case of true junctional cancer occurring 2 years after construction of an OAGB-MGB.
A 52-year-old man underwent OAGB-MGB (biliopancreatic limb length 200 cm) for super-obesity (BMI 52 kg/m2) in January 2017. Reflux symptoms pre-existed. Grade C esophagitis had been documented at preoperative outside endoscopy, but no biopsies had been taken. Postoperative follow-up was regular with occasional reflux episodes under 40 mg Pantoprazol daily until February 2019 (BMI 32.2 kg/m2), when new-onset...
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