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Title 肥満手術 (胃バイパス術) 後の空置胃に胃癌を生じた1症例
Subtitle 症例報告
Authors 古山準一, 上杉淳, 檜森亮吾, 高木秀雄, 森園竜太郎, 内沢政英, 水尾仁志1)
Authors (kana)
Organization 1)勤医協中央病院消化器内科
Journal 日本消化器病学会雑誌
Volume 119
Number 4
Page 351-359
Year/Month 2022 / 4
Article 報告
Publisher 日本消化器病学会
Abstract 「要旨」: 肥満手術は, 日本では2014年にスリーブ状胃切除術が保険収載された. それとは術式が異なる胃バイパス術は, 本邦では胃癌罹患率が高いこと, 術後空置胃の観察が困難であることが危惧され, 施行件数は少ない. 今回われわれは, 12年前に腹腔鏡下ルーワイ胃バイパス術を受け, その空置胃から発生した胃癌の1例を経験したので報告する. 肥満手術後の患者に貧血などが生じた際には, 同手術の術式を念頭において精査すべきである.
Practice 臨床医学:内科系
Keywords 肥満手術, 胃バイパス術, 空置胃, 胃癌

English

Title Gastric cancer in excluded stomach after Roux-en-Y gastric bypass : a case report in Japan
Subtitle
Authors Junichi KOYAMA, Atsushi UESUGI, Ryogo HIMORI, Hideo TAKAGI, Ryutaro MORIZONO, Masahide UCHIZAWA, Hitoshi MIZUO1)
Authors (kana)
Organization 1)Department of Gastroenterology, Kin-ikyo Chuo Hospital
Journal Journal of Japanese Society of Gastroenterology
Volume 119
Number 4
Page 351-359
Year/Month 2022 / 4
Article Report
Publisher The Japanese Society of Gastroenterology
Abstract Sleeve gastrectomy was covered by Japan's national health insurance as bariatric surgery for morbid obesity in 2014. There are a few cases of gastric bypass surgery, which is a different procedure. Given that the current incidence of gastric cancer in Japan is higher than that in the EU and US, the difficulty that gastric bypass surgery presents in examining the bypassed stomach necessitates a cautious approach to the indication of gastric bypass surgery in Japan. We present the case of a woman in her fifties who developed gastric cancer in the bypassed stomach 12 years after undergoing a laparoscopic Roux-en-Y gastric bypass. When a patient develops anemia and abdominal symptoms after bariatric surgery, the surgical procedure should be considered in the inspection.
Practice Clinical internal medicine
Keywords
  • 全文ダウンロード: 従量制、基本料金制の方共に770円(税込) です。

参考文献

  • 1) Schauer PR, Bhatt DL, Kirwan JP, et al : Bariatric Surgery versus Intensive Medical Therapy for Diabetes-5-Year Outcomes. N Engl J Med 376 ; 641-651 : 2017
  • 2) 清水英治 : 肥満症外科治療Update. 実験医学 34(suppl) ; 185-190 : 2016
  • 3) Raijman I, Strother SV, Donegan WL : Gastric cancer after gastric bypass for obesity. Case re-port. J Clin Gastroenterol 13 ; 191-194 : 1991
  • 4) Lord RV, Edwards PD, Coleman MJ : Gastric can-cer in the bypassed segment after operation for morbid obesity. Aust N Z J Surg 67 ; 580-582 : 1997
  • 5) Khitin L, Roses RE, Birkett DH : Cancer in the gastric remnant after gastric bypass : a case re-port. Curr Surg 60 ; 521-523 : 2003
残りの28件を表示する
  • 6) Escalona A, Guzman S, Ibanez L, et al : Gastric cancer after Roux-en-Y gastric bypass. Obes Surg 15 ; 423-427 : 2005
  • 7) Corsini DA, Simoneti CAM, Moreira G, et al : Can-cer in the excluded stomach 4 years after gastric bypass. Obes Surg 16 ; 932-934 : 2006
  • 8) Watkins BJ, Blackmun S, Kuehner ME : Gastric adenocarcinoma after Roux-en-Y gastric bypass : access and evaluation of excluded stomach. Surg Obes Relat Dis 3 ; 644-647 : 2007
  • 9) Harper JL, Beech D, Tichansky DS, et al : Cancer in the bypassed stomach presenting early after gastric bypass. Obes Surg 17 ; 1268-1271 : 2007
  • 10) Swain JM, Adams RB, Farnell MB, et al : Gastric and pancreatoduodenal resection for malignant lesions after previous gastric bypass--diagnosis and methods of reconstruction. Surg Obes Relat Dis 6 ; 670-675 : 2010
  • 11) Wu CC, Lee WJ, Ser KH, et al : Gastric cancer af-ter mini-gastric bypass surgery : a case report and literature review. Asian J Endosc Surg 6 ; 303-306 : 2013
  • 12) Menendez P, Villarejo P, Padilla D : Krukenberg tumor after gastric bypass for morbid obesity. Bariatric surgery and gastric cancer. Rev Esp En-ferm Dig 105 ; 296-298 : 2013
  • 13) Nau P, Rattner DW, Meireles O : Linitis plastica presenting two years after elective Roux-en-Y gastric bypass for treatment of morbid obesity : a case report and review of the literature. Surg Obes Relat Dis 10 ; e15-e17 : 2014
  • 14) Tinoco A, Gottardi LF, Boechat ED : Gastric can-cer in the excluded stomach 10 years after gas-tric bypass. Case Rep Surg 2015 ; 468293 : 2015
  • 15) Magge D, Holtzman MP : Gastric adenocarcinoma in patients with Roux-en-Y gastric bypass : A case series. Surg Obes Relat Dis 11 ; e35-e38 : 2015
  • 16) Haenen FW, Gys B, Moreels T, et al : Linitis plas-tica of the bypassed stomach 7 years after Roux-en-Y gastric bypass : a case report. Acta Chir Belg 117 ; 391-393 : 2017
  • 17) Kumar R, Pitea TC : A novel endoscopic tech-nique to diagnose gastric cancer in excluded stomach after Roux-en-Y gastric bypass. ACG Case Rep J 4 ; e36 : 2017
  • 18) Ahmad W, Rubin J, Kwong W : Percutaneous en-doscopy to diagnose malignancy in gastric outlet obstruction of excluded stomach after gastric by-pass. Ann Gastroenterol 30 ; 367-369 : 2017
  • 19) Ali S, Chaar A, Frandah W, et al : Exploring the excluded stomach : A case series of novel endo-scopic techniques to diagnose gastric cancer in the excluded stomach after Roux-en-Y gastric by-pass surgery. Cureus 10 ; e2825 : 2018
  • 20) Kohli DR, Pannala R : Linitis plastica in excluded stomach after Roux-en-Y gastric bypass. Gastro-intest Endosc 88 ; 558-559 : 2018
  • 21) Tornese S, Aiolfi A, Bonitta G, et al : Remnant gastric cancer after Roux-en-Y gastric bypass : Narrative review of the literature. Obes Surg 29 : 2609-2613 : 2019
  • 22) Tagaya N, Kasama K, Inamine S, et al : Evalu-ation of the excluded stomach by double-balloon endoscopy after laparoscopic Roux-en-Y gastric bypass. Obes Surg 17 ; 1165-1170 : 2007
  • 23) Papadia FS. Scopinaro N : Gastric cancer and Roux-en-Y gastric bypass. Obes Surg 16 ; 1552 : 2006
  • 24) Menendez P, Padilla D, Villarejo P, et al : Dose bariatric surgery decrease gastric cancer risk? Hepatogastroenterology 59 ; 409-412 : 2012
  • 25) Adams TD, Stroup AM, Gress RE, et al : Cancer incidence and mortality after gastric bypass sur-gery. Obesity 17 ; 796-802 : 2009
  • 26) Inoue H, Rubino F, Shimada Y, et al : Risk of gas-tric cancer after Roux-en-Y gastric bypass. Arch Surg 142 ; 947-953 : 2007
  • 27) 太田正之, 遠藤裕一, 高山洋臣他 : 肥満の外科療法. 成人病と生活習慣病 47 ; 1448-1452 : 2017
  • 28) Brethauer SA, Aminian A, Romero-Talamas H, et al : Can diabetes be surgically cured? Long-term metabolic effects of bariatric surgery in obese pa-tients with type 2 diabetes mellitus. Ann Surg 258 ; 628-636 ; discussion 636-637 : 2013
  • 29) Kasama K, Tagaya N, Kanehira E, et al : Laparo-scopic sleeve gastrectomy with duodenojejunal bypass : technique and preliminary results. Obes Surg 19 ; 1341-1345 : 2009
  • 30) Seki Y, Kasama K, Tanaka T, et al : Early gastric cancer successfully treated by endoscopic sub-mucosal resection 1 year after laparoscopic sleeve gastrectomy with duodenal-jejunal bypass. Asian J Endosc Surg 12 ; 357-361 : 2019
  • 31) Naitoh T, Kasama K, Seki Y, et al : Efficacy of Sleeve Gastrectomy with Duodenal-Jejunal By-pass for the Treatment of Obese Severe Diabetes Patients in Japan : a Retrospective Multicenter Study. Obes Surg 28 ; 497-505 : 2018
  • 32) Lee WJ, Almulaifi A, Tsou JJ, et al : Laparoscopic sleeve gastrectomy for type 2 diabetes mellitus : predicting the success by ABCD score. Surg Obes Relat Dis 11 ; 991-996 : 2015
  • 33) 関 洋介, 網木 学, 笠間和則, 他 : 高度肥満症例に対する腹腔鏡下スリーブ十二指腸空腸バイパス術の有用性. 外科 81 ; 223-228 : 2019