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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Veröffentlicht in:Asian journal of endoscopic surgery 2019-07, Vol.12 (3), p.357-361
Hauptverfasser: Seki, Yosuke, Kasama, Kazunori, Tanaka, Tatsuro, Baba, Satoshi, Ito, Masayoshi, Kurokawa, Yoshimochi
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container_end_page 361
container_issue 3
container_start_page 357
container_title Asian journal of endoscopic surgery
container_volume 12
creator Seki, Yosuke
Kasama, Kazunori
Tanaka, Tatsuro
Baba, Satoshi
Ito, Masayoshi
Kurokawa, Yoshimochi
description 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.
doi_str_mv 10.1111/ases.12630
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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.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>30015399</pmid><doi>10.1111/ases.12630</doi><tpages>5</tpages></addata></record>
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source Wiley Online Library - AutoHoldings Journals; MEDLINE
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
title Early gastric cancer successfully treated by endoscopic submucosal resection 1 year after laparoscopic sleeve gastrectomy with duodenal‐jejunal bypass
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