Gastric pouch adenocarcinoma and tubular adenoma of the pylorus: a field effect of dysplasia following bariatric surgery.

Abstract:

:There are reports of gastric carcinoma following bariatric surgery, but it is unclear if these procedures predispose to malignancy. We present a case of a 60-year-old man who, 15 years after vertical banded gastroplasty (VBG), had a massive upper GI bleed. Endoscopy revealed a large tumor of the gastric pouch. Histology confirmed an intestinal type of gastric adenocarcinoma arising in a background of H. pylori-negative gastritis with atrophy, foveolar hyperplasia and intestinal metaplasia. An incidental tubular adenoma at the pylorus was also identified. The pathogenesis of gastric pouch carcinoma is discussed. The present example of neoplastic change in both the pouch and pylorus may indicate that a field effect for dysplasia develops subsequent to VBG.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Chebib I,Beck PL,Church NG,Medlicott SA

doi

10.1007/s11695-007-9130-2

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

843-6

issue

6

eissn

0960-8923

issn

1708-0428

journal_volume

17

pub_type

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