scholarly journals Gastric Adenocarcinoma after Gastric Bypass for Morbid Obesity: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Maxwel Capsy Boga Ribeiro ◽  
Luiz Roberto Lopes ◽  
João de Souza Coelho Neto ◽  
Valdir Tercioti ◽  
Nelson Adami Andreollo
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Gastric Adenocarcinoma ◽  
Gastric Pouch ◽  
Histopathological Analysis ◽  
Digestive Endoscopy ◽  
Bypassed Stomach ◽  
Left Lobectomy ◽  
Upper Digestive Endoscopy

Gastric adenocarcinoma after gastric bypass for morbid obesity is rare but has been described. The diet restriction, weight loss, and difficult assessment of the bypassed stomach, after this procedure, hinder and delay its diagnosis. We present a 52-year-old man who underwent Roux-en-Y gastric bypass 2 years ago and whose previous upper digestive endoscopy was considered normal. He presented with weight loss, attributed to the procedure, and progressive dysphagia. Upper digestive endoscopy revealed stenosing tumor in gastric pouch whose biopsy showed diffuse-type gastric adenocarcinoma. He underwent total gastrectomy, left lobectomy, distal pancreatectomy and splenectomy, segmental colectomy, and bowel resection with esophagojejunal anastomosis. The histopathological analysis confirmed the presence of gastric cancer. The pathogenesis of gastric pouch adenocarcinoma is discussed with a literature review.

scholarly journals Preoperative Predictive Factors of Successful Weight Loss and Glycaemic Control 1 Year After Gastric Bypass for Morbid Obesity

2015 ◽  
Vol 25 (11) ◽  
pp. 2040-2046 ◽  
Author(s):  
Silvia Palmisano ◽  
Marta Silvestri ◽  
Michela Giuricin ◽  
Edoardo Baldini ◽  
Simone Albertario ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Glycaemic Control ◽  
Predictive Factors ◽  
Successful Weight Loss

scholarly journals Comparison of weight loss, food consumption and frequency of vomiting among Roux-en-Y gastric bypass patients with or without constriction ring

2014 ◽  
Vol 27 (suppl 1) ◽  
pp. 43-46 ◽  
Author(s):  
Silvia Leite FARIA ◽  
Orlando Pereira FARIA ◽  
Mariane de Almeida CARDEAL
Keyword(s):  
Weight Loss ◽  
Gastric Bypass ◽  
Medical Records ◽  
Excess Weight Loss ◽  
Gastric Pouch ◽  
Excess Weight ◽  
Bariatric Patient ◽  
Constriction Ring ◽  
Ring Group ◽  
Weight Protein

BACKGROUND: After Roux-en-Y gastric bypass to avoid rapid gastric emptying, dumping syndrome and regained weight due to possible dilation of the gastric pouch, was proposed to place a ring around the gastric pouch. AIM: To compare weight loss, consumption of macronutrients and the frequency of vomiting among patients who underwent Roux-en-Y gastric bypass with and without the placement of a constriction ring around the pouch. METHOD: A retrospective study, in which an analysis of medical records was carried out, collecting data of two groups of patients: those who underwent the operation with the placement of a constriction ring (Ring Group) and those who underwent without the placement of a ring (No-Ring Group). The food intake data were analyzed using three 24-hour recalls collected randomly in postoperative nutritional accompaniment. Data on the percentage of excess weight loss and the occurrence of vomiting were collected using the weight corresponding to the most recent report at the time of data collection. RESULTS: Medical records of 60 patients were analyzed: 30 from the Ring Group (women: 80%) and 30 from the No-Ring Group (women: 87%). The average time since the Ring Group underwent the operation was 88±17.50 months, and for the No-Ring Group 51±15.3 months. The percentage of excess weight loss did not differ between the groups. The consumption of protein (g), protein/kg of weight, %protein and fiber (g) were higher in the No-Ring Group. The consumption of lipids (g) was statistically higher in the Ring Group. The percentage of patients who never reported any occurrence was statistically higher in the No-Ring Group (80%vs.46%). The percentage who frequently reported the occurrence was statistically higher in the Ring Group (25%vs.0%). CONCLUSION: The placement of a ring seems to have no advantages in weight loss, favoring a lower intake of protein and fiber and a higher incidence of vomiting, factors that have definite influence in the health of the bariatric patient.

scholarly journals Erratum to: Revisional Laparoscopic Gastric Pouch Resizing for Inadequate Weight Loss After Roux-en-Y Gastric Bypass

2015 ◽  
Vol 25 (7) ◽  
pp. 1109-1109 ◽  
Author(s):  
Ibtisam Al-Bader ◽  
Mousa Khoursheed ◽  
Khalid Al Sharaf ◽  
Ali Mouzannar ◽  
Aqeel Ashraf ◽  
...  
Keyword(s):  
Weight Loss ◽  
Gastric Bypass ◽  
Gastric Pouch ◽  
Gastric Pouch Resizing ◽  
Inadequate Weight Loss ◽  
Pouch Resizing

Calibration of the Gastric Pouch in Laparoscopic Roux-en-Y Gastric Bypass: Does It Matter? The Influence on Weight Loss

2018 ◽  
Vol 28 (11) ◽  
pp. 3400-3404
Author(s):  
Beata M. M. Reiber ◽  
Mark Tenhagen ◽  
Michiel A. J. M. Hunfeld ◽  
Huib A. Cense ◽  
Ahmet Demirkiran
Keyword(s):  
Weight Loss ◽  
Gastric Bypass ◽  
Gastric Pouch

scholarly journals Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid Obesity

JAMA ◽  
2018 ◽  
Vol 319 (3) ◽  
pp. 255 ◽  
Author(s):  
Ralph Peterli ◽  
Bettina Karin Wölnerhanssen ◽  
Thomas Peters ◽  
Diana Vetter ◽  
Dino Kröll ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy

scholarly journals Endoscopic Management of Drain Inclusion in the Gastric Pouch after Gastrojejunal Leakage after Laparoscopic Roux-en-Y Gastric Bypass for the Treatment of Morbid Obesity (LRYGBP)

2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
Ramon Vilallonga ◽  
José Manuel Fort ◽  
Oscar Gonzalez ◽  
Juan Antonio Baena ◽  
Albert Lecube ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Gastric Bypass ◽  
Complete Resolution ◽  
Abdominal Cavity ◽  
Gastric Pouch ◽  
Therapeutic Strategies ◽  
Endoscopic Management ◽  
Gastric Leak ◽  
Surgical Options

Background. Drain inclusion inside the gastric pouch is rare and can represent an important source of morbidity and mortality associated with laparocopic Roux-en-Y gastric bypass (LRYGBP). These leaks can become chronic and challenging. Surgical options are often unsuccessful. We present the endoscopic management of four patients with drain inclusion. Patients. All four obese morbidly patients underwent LRYGBP and presented a gastro-jejunal fistula after acute anastomotic leakage. During follow-up endoscopy the drain was found inside the gastric pouch. It was moved into the abdominal cavity. Fistula debit reduced significantly and closed. Results. Gastric leak closure in less than 24 hours was achieved in all, with complete resolution of symptoms. These patients benefited exclusively from endoscopic treatment. Conclusions. Endoscopy is useful and technically feasible in chronic fistulas. This procedure is a less invasive alternative to traditional surgical revision. Other therapeutic strategies can be used such as clips and fibrin glue. Drains should not be placed in contact with the anastomosis or stapled lines. Drain inclusion must be suspected when fistula debit suddenly arises. If so, endoscopy is indicated for diagnostic accuracy. Under endoscopy vision, the drain is gently removed from the gastric reservoir leading to sudden and complete resolution of the fistula.

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