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Laparoscopic Gastric Bypass with Subtotal Gastrectomy for a Super-Obese Patient with Biermer Anemia

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Laparoscopic Roux-en-Y gastric bypass (RYGBP) is a common procedure for morbid obesity. After RYGBP, the bypassed stomach is unavailable for follow-up. Biermer anemia is an autoimmune atrophic gastritis inducing vitamin B12 deficiency and it is a risk factor for gastric carcinoma.A 41-year-old woman with a long history of morbid obesity presented with a BMI of 56 kg/m2. She had anemia (Hb 9.9 g/dL), and atrophic gastritis was found endoscopically. We performed a laparoscopic RYGBP with subtotal gastrectomy, to avoid the risk of gastric carcinoma in the bypassed stomach.The patient was discharged 9 days after the operation without complication. At 18 months follow-up, her BMI was 39 kg/m2 (50% excess weight loss). Laparoscopic RYGBP with subtotal gastrectomy is a safe treatment for morbid obesity, which should be considered for patients with a risk factor for gastric carcinoma.

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Authors and Affiliations

  1. Clinique des Emailleurs, General Digestive Surgery, Limoges, France

    Maxime Sodji MD

  2. Hôpital Avicenne “Assistance Publique - Hôpitaux de Paris”, Bariatric Surgical College, Bobigny, France

    Maxime Sodji MD & Jean Marc Catheline MD

  3. Hôpital Avicenne “Assistance Publique - Hôpitaux de Paris”, Endocrinology Department, Bobigny, France

    Frédéric A. Sebag MD

  4. Hôpital Avicenne, Service de Chirurgie Générale et Digestive, 125 rue de Stalingrad, 93009, BOBIGNY Cedex, France

    Jean Marc Catheline MD

Authors
  1. Maxime Sodji MD
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  2. Frédéric A. Sebag MD
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  3. Jean Marc Catheline MD
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Corresponding author

Correspondence to Jean Marc Catheline MD.

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Sodji, M., Sebag, F.A. & Catheline, J.M. Laparoscopic Gastric Bypass with Subtotal Gastrectomy for a Super-Obese Patient with Biermer Anemia. OBES SURG 17, 1132–1135 (2007). https://doi.org/10.1007/s11695-007-9191-2

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  • DOI: https://doi.org/10.1007/s11695-007-9191-2

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