Gastroplasty

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Moucef Damhan - One of the best experts on this subject based on the ideXlab platform.

Patrick Carlier - One of the best experts on this subject based on the ideXlab platform.

  • Adenocarcinoma of the Pouch after Silastic Ring Vertical Gastroplasty
    Obesity surgery, 2002
    Co-Authors: Christophe Zirak, Jean Lemaitre, Eric Lebrun, Stephane Journé, Patrick Carlier
    Abstract:

    A 52-year-old woman was admitted because of epigastralgia, anorexia and recently increased vomiting, 2 years after silastic ring vertical Gastroplasty. On gastroscopy, a tumor mass was visualized in the pouch near the "neo-pylorus". Biopsies confirmed adenocarcinoma. She underwent total gastrectomy, and has no evidence of recurrence at 1 year. The literature on gastric carcinoma after Gastroplasty is reviewed.

Otto L Willbanks - One of the best experts on this subject based on the ideXlab platform.

E. Scapa - One of the best experts on this subject based on the ideXlab platform.

  • Gastric Mucosal Changes following Gastroplasty: A Comparative Study Between Vertical Banded Gastroplasty and Silastic Ring Vertical Gastroplasty.
    Obesity surgery, 1995
    Co-Authors: M. Negri, N Bendet, A Halevy, Zvi Halpern, R Reif, H Bogokovsky, E. Scapa
    Abstract:

    Background: Long-term changes of gastric mucosa following surgery for morbid obesity have never been studied, to the best of our knowledge. As 31 patients in our series presented with various gastro-intestinal complaints following surgery, we used this opportunity to study mucosal changes. Methods: Thirty-seven gastroscopies were performed on 31 patients, 20 patients following Vertical Banded Gastroplasty (VBG) and 11 patients following Silastic Ring Vertical Gastroplasty (SRVG) with various gastrointestinal complaints. Macroscopic appearance of the gastric mucosa was examined and biopsies taken from the proximal gastric pouch, the transitional zone and distal stomach. Results: In most patients, macroscopic appearance of the proximal and distal pouches was normal. Pathological findings were mainly located in the transitional zone and were found mainly in the VBG group. Conclusions: This study indicates that damage to the gastric mucosa is related to the surgical technique, and mainly to the strip of mesh used in the VBG patients. Since hyperplasia and metaplasia were among the microscopic findings, a question is raised about the possibility of malignant transformation. We suggest that routine post-operative gastroscopies be considered, especially following VBG.

Antonio Iannelli - One of the best experts on this subject based on the ideXlab platform.