Laparoscopic solution for early gastric cancer in a morbidly obese patient

During preoperative work-up for laparoscopic gastric bypass in a morbidly obese female, gastroscopy visualized two small ulcers in the antrum. Biopsies diagnosed adenocarcinoma of the diffuse type. Staging was performed, and endoscopic ultrasonography showed early gastric cancer. A laparoscopic near...

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Published inObesity surgery Vol. 17; no. 3; pp. 420 - 422
Main Authors D'Hondt, Mathieu, Van Rooy, Frank, Devriendt, Dirk, Vansteenkiste, Franky, Vanhauwaert, Herwig
Format Journal Article
LanguageEnglish
Published United States Springer Nature B.V 01.03.2007
Subjects
Adenocarcinoma - epidemiology
Adenocarcinoma - surgery
Cancer
Comorbidity
Female
Gastrectomy - methods
Gastrointestinal surgery
Humans
Laparoscopy
Lymph Nodes - surgery
Middle Aged
Obesity
Obesity, Morbid - epidemiology
Stomach Neoplasms - epidemiology
Stomach Neoplasms - surgery
Surgical outcomes
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Summary:During preoperative work-up for laparoscopic gastric bypass in a morbidly obese female, gastroscopy visualized two small ulcers in the antrum. Biopsies diagnosed adenocarcinoma of the diffuse type. Staging was performed, and endoscopic ultrasonography showed early gastric cancer. A laparoscopic neartotal gastrectomy with D1 resection and perigastric lymph node dissection and full omentectomy in combination with a gastric bypass, was peformed. This approach respects the oncologic and bariatric principles and gives a combined solution for the patient.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-007-9052-z