Early gastric cancer successfully treated by endoscopic submucosal resection 1 year after laparoscopic sleeve gastrectomy with duodenal‐jejunal bypass

This case involved a 64‐year‐old female patient with a BMI of 35.3 kg/m2 and poorly controlled type 2 diabetes mellitus. Preoperative upper gastrointestinal endoscopy revealed chronic, atrophic gastritis. Helicobacter pylori antibody was negative. The patient underwent laparoscopic sleeve gastrectom...

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Published inAsian journal of endoscopic surgery Vol. 12; no. 3; pp. 357 - 361
Main Authors Seki, Yosuke, Kasama, Kazunori, Tanaka, Tatsuro, Baba, Satoshi, Ito, Masayoshi, Kurokawa, Yoshimochi
Format Journal Article
LanguageEnglish
Published Kyoto, Japan John Wiley & Sons Australia, Ltd 01.07.2019
Wiley Subscription Services, Inc
Subjects
Adenocarcinoma - diagnosis
Adenocarcinoma - surgery
Bariatric surgery
Diabetes
Endoscopy
Female
Gastrectomy
Gastric Bypass
Gastric cancer
Humans
Laparoscopy
LSG‐DJB
Middle Aged
Obesity, Morbid - surgery
Stomach Neoplasms - diagnosis
Stomach Neoplasms - surgery
gastric cancer
LSG-DJB
Bariatric surgery
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Summary:This case involved a 64‐year‐old female patient with a BMI of 35.3 kg/m2 and poorly controlled type 2 diabetes mellitus. Preoperative upper gastrointestinal endoscopy revealed chronic, atrophic gastritis. Helicobacter pylori antibody was negative. The patient underwent laparoscopic sleeve gastrectomy with duodenal‐jejunal bypass as a metabolic surgery to treat obesity and type 2 diabetes mellitus. At 1 year postoperatively, routine endoscopy detected a flat elevated lesion at the distal gastric sleeve, near the posterior wall of the antrum; biopsy revealed adenocarcinoma. Endoscopic submucosal resection was performed without complication. This case shows the advantage of laparoscopic sleeve gastrectomy with duodenal‐jejunal bypass in screening the excluded stomach as compared to laparoscopic Roux‐en‐Y gastric bypass. Therefore, laparoscopic sleeve gastrectomy with duodenal‐jejunal bypass can be a viable alternative to laparoscopic Roux‐en‐Y gastric bypass for regions where gastric cancer is endemic.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1758-5902
1758-5910
DOI:10.1111/ases.12630