par Belhaj, Asmae 
;Memo, Luigi;Mehdi, Abdel Ilah ;Mboti, Freddy ;Closset, Jean
Référence Revue médicale de Bruxelles, 31, 5, page (459-462)
Publication Publié, 2010-09
;Memo, Luigi;Mehdi, Abdel Ilah ;Mboti, Freddy ;Closset, Jean Référence Revue médicale de Bruxelles, 31, 5, page (459-462)
Publication Publié, 2010-09
Article révisé par les pairs
| Résumé : | Objectives : Bariatric surgery is considered as the most effective therapy for morbid obesity. But, each procedure carries both short-and long-term complications. And, it remains unclear if the late occurrence of gastric adenocarcinoma could be linked to bariatric surgery. We described a case of a female who developed a gastric adenocarcinoma after a silastic ring vertical gastroplasty (SRVG). Methods : A 54-year-old female presented with postprandial vomiting, poor appetite, dysphagia and weight loss 10 year after a SRVG. A gastroscopy with biopsy disclosed a juxta-pyloric adenocarcinoma. No distant metastasis was found. After 3 cycles of neoadjuvant chemotherapy, a subtotal gastrectomy with Roux-en-Y anastomosis was performed. Results : After the surgery, a minor anastomotic leak was treated conservatively and a parietal abscess was drained. The pathological studies demonstrated a T2bN1 adenocarcinoma with negative margins. Adjuvant chemotherapy was administered. At the last work up, the patient is disease-free. Conclusion : The association between a gastric adenocarcinoma and a bariatric procedure such as a SRVG is difficult to assess without a case-control or a cross-sectional study. Nevertheless, when new upper digestive tract complaints occur in any patient with an otherwise unremarkable bariatric surgery follow-up, the diagnosis of gastric cancer should be bear in mind. |
