Skip to main content

Advertisement

Log in

Metastatic Adenocarcinoma of the Gastric Pouch 5 Years After Roux-en-Y Gastric Bypass

  • Case Report
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

A 65-year-old male presented 5 years after Roux-en-Y gastric bypass (RYGBP) with cancer of the gastric pouch. At the time of detection, the cancer was already metastatic. This case represents the first reported metastatic gastric adenocarcinoma arising from the gastric pouch following RYGBP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Pi-Sunyer FX. A review of long-term studies evaluating the efficacy in weight loss ameliorating disorder associated with obesity. Clin Ther 1996;18:1006–35.

    Article  PubMed  CAS  Google Scholar 

  2. Mason EE, Ito C. Gastric bypass surgery in obesity. Surg Clin North Am 1967;47:1345–52.

    Google Scholar 

  3. Buchwald H, Williams SE. Bariatric surgery worldwide. Obes Surg 2004;14:1157–64.

    Article  PubMed  Google Scholar 

  4. Gentileschi P, Kini S, Catarci M, et al. Evidence based medicine: open and bariatric surgery. Surg Endosc 2002;16:736–44.

    Article  PubMed  CAS  Google Scholar 

  5. Griffen WC, Young VL, Stevenson CC. A prospective comparison of gastric and jejunoileal bypass procedures for morbid obesity. Ann Surg 1977;186:500–9.

    Article  PubMed  Google Scholar 

  6. MacGregor A. The story of obesity. American Society for Bariatric Surgery. http://www.asbs.org/html/story/chapter1.html (2002).

  7. Pories WJ, Swanson MS, Mac Donald KG, et al. Who would have thought it? An operation proves to be the most effective therapy for adult onset diabetes mellitus. Ann Surg 1995;225:339–50; discussion 350–2.

    Article  Google Scholar 

  8. Papakonstantinou A, Moustafellos P, Terzis I, et al. Gastric cancer occurring after vertical banded gastroplasty. Obes Surg 2002;12:118–20.

    Article  PubMed  Google Scholar 

  9. Zirak C, Lemaitre J, Lebrun E, et al. Adenocarcinoma of the pouch after silastic ring vertical gastroplasty. Obes Surg 2002;12:693–4.

    Article  PubMed  Google Scholar 

  10. Jain PK, Ray B, Royston CM. Carcinoma in the gastric pouch years after vertical banded gastroplasty. Obes Surg 2003;13:136–7.

    Article  PubMed  CAS  Google Scholar 

  11. Snook KL, Ritchie JD. Carcinoma of esophagus after adjustable gastric banding. Obes Surg 2004;14:800–2.

    Google Scholar 

  12. Hackert Th, Dietz M, Tjaden C, et al. Band erosion with gastric cancer. Obes Surg 2004;14:559–61.

    Article  PubMed  Google Scholar 

  13. Allen JW, Leeman MF, Richardson JD. Esophageal carcinoma following bariatric procedures. JSLS 2004;8:372–5.

    PubMed  Google Scholar 

  14. Raijman I, Strother SV, Donegan WL. Gastric cancer after gastric bypass for obesity: case report. J Clin Gastroenterol 1991;13:191–4.

    Article  PubMed  CAS  Google Scholar 

  15. Lord RV, Edwards PD, Coleman MJ. Gastric cancer in the bypassed segment after operation for morbid obesity. Aust N Z J Surg 1997;67:580–2.

    Article  PubMed  CAS  Google Scholar 

  16. Trincado T, Martin del Olmo JC, Castaño J, et al. Gastric pouch carcinoma after gastric bypass for morbid obesity. Obes Surg 2005;15:1215–7.

    Article  PubMed  Google Scholar 

  17. Escalona A, Guzmán S, Ibáñez L, et al. Gastric cancer after Roux-en-Y gastric bypass. Obes Surg 2005;15:423–7.

    Article  PubMed  Google Scholar 

  18. De Roover A, Detry O, De Leval L, et al. 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 after vertical banded gastroplasty. Obes Surg 2006;16:928–31.

    Article  PubMed  Google Scholar 

  19. Babor R, Booth M. Adenocarcinoma of the gastric pouch 26 years after loop gastric bypass. Obes Surg 2006;16:935–8.

    Article  PubMed  Google Scholar 

  20. Lazzari A, Talario F, Armaroli R, et al. Primary adenocarcinoma of the jejunum arising in the anastomotic loop of a Roux-en-Y esophago-jejunostomy. G Chir 2000;21:172–6.

    PubMed  CAS  Google Scholar 

  21. Sapala JA, Wood MH, Sapala MA, et al. Marginal ulcer after gastric bypass: a prospective three year study of 173 patients. Obes Surg 1998;8:505–16.

    Article  PubMed  CAS  Google Scholar 

  22. Schirmer B, Erenoglu C, Miller A. Flexible endoscopy in the management of patients undergoing Roux-en-Y gastric bypass. Obes Surg 2002;12:634–8.

    Article  Google Scholar 

  23. Mondeturo F, Cappello I, Mazzoni G, et al. Radiological contrast studies after vertical banded gastroplasty and Roux-en-Y gastric bypass in patients with morbid obesity. Radiol Med 2004;107:515–23.

    PubMed  Google Scholar 

  24. Martin J, Pandolfino J. Gastrointestinal complications after bariatric surgery. Curr Gastroenterol Rep 2005;7:321–5.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christian S. Jackson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sun, C., Jackson, C.S., Reeves, M. et al. Metastatic Adenocarcinoma of the Gastric Pouch 5 Years After Roux-en-Y Gastric Bypass. OBES SURG 18, 345–348 (2008). https://doi.org/10.1007/s11695-007-9394-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-007-9394-6

Keywords

Navigation