Gastric pouch cancer after mini gastric bypass surgery: The first case report

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dc.contributor.authorKarabacak, Ufuk
dc.contributor.authorMollaoglu, Murat Can
dc.contributor.authorSeven, Turan Eray
dc.contributor.authorKaradayi, Kursat
dc.date.accessioned2024-10-26T18:05:15Z
dc.date.available2024-10-26T18:05:15Z
dc.date.issued2024
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractDevelopment of gastric cancer following bariatric surgery is very rare. Nearly all patients with cancer after mini gastric bypass/one anastomosis gastric bypass have carcinoma in their remnant stomach. This is the first case with the development of gastric cancer in the gastric pouch following mini gastric bypass surgery. Our case was a 32-year-old woman who was admitted to our department with oral intolerance 5 years after mini gastric bypass. In her endoscopic examination, an ulcerovegetan mass in the gastric pouch (Siewert type III) was detected. The pathological examination of the biopsies was reported as low differentiated adenocarcinoma. Clinical staging was performed using Positron emission tomographycomputed tomography (PET-CT) and endoscopic ultrasonography (T3N1M0). Following four cycles of neoadjuvant chemotherapy, en-bloc total gastrectomy, D2 lymph node dissection, and partial small intestine resection were performed. In pathological evaluation, no tumors were detected in the specimen and a total of 38 lymph nodes were dissected. This finding was accepted as a pathologic complete response. Signs and symptoms such as anemia, oral intolerance, and vomiting that develop after bariatric surgery can often be attributed to the surgical procedure performed, but it should be kept in mind that similar symptoms may also be associated with malignancy. In case of clinical suspicion, endoscopic examination and cross-sectional imaging should be performed.
dc.identifier.doi10.4103/jcrt.jcrt_1749_22
dc.identifier.endpage475
dc.identifier.issn0973-1482
dc.identifier.issn1998-4138
dc.identifier.issue1
dc.identifier.pmid38554368
dc.identifier.scopus2-s2.0-85189458654
dc.identifier.scopusqualityQ3
dc.identifier.startpage472
dc.identifier.urihttps://doi.org/10.4103/jcrt.jcrt_1749_22
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28870
dc.identifier.volume20
dc.identifier.wosWOS:001229463200082
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofJournal of Cancer Research and Therapeutics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBariatric surgery
dc.subjectgastric bypass
dc.subjectgastric cancer
dc.subjectmorbid obesity
dc.titleGastric pouch cancer after mini gastric bypass surgery: The first case report
dc.typeArticle

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