Risk of upper gastrointestinal cancer after bariatric operations

被引：21

作者：

De Roover, Arnaud ^{[1
]}

Detry, Olivier ^{[1
]}

Desaive, Claude ^{[1
]}

Maweja, Sylvie ^{[1
]}

Coimbra, Carla ^{[1
]}

Honore, Pierre ^{[1
]}

Meurisse, Michel ^{[1
]}

机构：

[1] Univ Liege, Ctr Hosp Univ Liege, Dept Abdominal Surg & Transplantat, Liege, Belgium

来源：

OBESITY SURGERY | 2006年 / 16卷 / 12期

关键词：

cancer; morbid obesity; bariatric surgery; Barrett's esophagus; metaplasia;

D O I：

10.1381/096089206779319419

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The authors discuss the potential influence of obesity surgery on the risk of cancer, focusing on the upper GI tract directly affected by operations. There is currently no substantiation for an increased risk of cancer after bariatric surgery, because there are only about 25 reports of subsequent cancer of the esophagus and the stomach. However, this review emphasizes the need to detect potential precancerous conditions before surgery. Candidates for postoperative endoscopic surveillance may include patients >15 years after gastric surgery, but also patients symptomatic for gastroesophageal reflux disease in whom a high incidence of Barrett's metaplasia has been reported. The greatest concern is a delay in diagnosis from inadequate investigation due to mistaking serious upper GI symptoms as a consequence of the past operation.

引用

页码：1656 / 1661

页数：6

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