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Obesity Surgery

, Volume 30, Issue 2, pp 753–754 | Cite as

The First Case Report of a Carcinoma of the Gastric Cardia (AEG II) After OAGB-MGB

  • Mira Runkel
  • Michael Pauthner
  • Norbert RunkelEmail author
Letter to the Editor

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 [1] nor has gastric cardia or pouch cancer been published by anyone else [2]. We herein describe a case of true junctional cancer occurring 2 years after construction of an OAGB-MGB.

Case Report

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...

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent Statement

For this type of study, formal consent is not required.

References

  1. 1.
    Rutledge R, Walsh TR. Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients. Obes Surg. 2005;15(9):1304–8.CrossRefGoogle Scholar
  2. 2.
    Musella M, Berardi G, Bocchetti A, et al. Esophagogastric neoplasms following bariatric surgery: an updated systematic review. Obes Surg. 2019;29(8):2660–2669.Google Scholar
  3. 3.
    Wu CC, Lee WJ, Ser KH, et al. Gastric cancer after mini-gastric bypass surgery: a case report and literature review. Asian J Endosc Surg. 2013;6(4):303–6.CrossRefGoogle Scholar
  4. 4.
    Csendes A, Burgos AM, Smok G, et al. Latest results 12-21 years of a prospective randomized study comparing Billroth II and Roux-en-Y anastomosis after a partial gastrectomy plus vagotomy in patients with duodenal ulcers. Ann Surg. 2009;249(2):189–94.CrossRefGoogle Scholar
  5. 5.
    Aggarwal S, Bhambri A, Singla V, et al. Adenocarcinoma of oesophagus involving gastro-oesophageal junction following mini-gastric bypass/one anastomosis gastric bypass. J Minim Access Surg. 2019;Google Scholar
  6. 6.
    Mahawar KK, Himpens J, Shikora SA, et al. The first consensus statement on one anastomosis/mini gastric bypass (OAGB/MGB) using a modified Delphi approach. Obes Surg. 2018;28(2):303–12.CrossRefGoogle Scholar
  7. 7.
    Parmar CD, Mahawar KK. One anastomosis (mini) gastric bypass is now an established bariatric procedure: a systematic review of 12,807 patients. Obes Surg. 2018;28(9):2956–67.CrossRefGoogle Scholar
  8. 8.
    Chiappetta S, Weiner R. Evidence of the mini-/one-anastomosis-gastric-bypass for being a standard procedure in obesity and metabolic surgery. Chirurg. 2018;89(8):589–96.CrossRefGoogle Scholar
  9. 9.
    Runkel N. The gastric migration crisis in obesity surgery. Obes Surg. 2019;29(7):2301–2.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Obesity and Metabolic SurgerySana Klinikum OffenbachOffenbachGermany

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