Adenocarcinoma of the Lower Esophagus After Placement of a Gastric Band
Adenocarcinoma of the Lower Esophagus After Placement of a Gastric Band
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DOI：
10.1007/s11695-008-9718-1
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发表时间：
2009-03-01
期刊：
影响因子：
2.9
通讯作者：
Hunfeld, Michiel A. J. M.
中科院分区：
文献类型：
--
作者：
Korswagen, Lindy-Anne;Schrama, Jolanda G.;Hunfeld, Michiel A. J. M.
一名43岁的男子表现为严重的背部疼痛。他有病态肥胖史，在分娩前两年放置了食道胃硅胶带子。脊柱磁共振成像显示多发性骨转移瘤。在腹部的计算机断层扫描中，可见位于食管胃带附近的食道下段肿瘤，组织学检查显示为食管腺癌。减肥手术后的食管腺癌以前只在少数病例中被描述过。虽然没有证据表明与减肥手术之间存在因果关系，但人们应该记住，病态肥胖患者的食管腺癌发病率会增加，因为胃食道反流病的发病率更高。此外，在减肥手术后，腺癌的症状可能会被掩盖。
A 43-year-old man presented with severe back pain. He had a history of morbid obesity, for which an esophagogastric silicone band was placed 2 years before presentation. Magnetic resonance imaging of the vertebral column showed multiple osseous metastases. On the computerized tomography scan of the abdomen, a tumor of the lower esophagus just proximal to the esophagogastric band was seen, of which histological examination revealed an esophageal adenocarcinoma. Esophageal adenocarcinoma after bariatric surgery has been described previously in only a few cases. Although there is no evidence for a causal relationship with bariatric surgery, one should bear in mind that the incidence of esophageal adenocarcinoma is increased in patients with morbid obesity because of the higher incidence of gastroesophageal reflux disease. Also, the symptoms of adenocarcinoma might be masked after bariatric surgery.