Roux-en-Y胃旁路术后残胃胃成形术治疗复发性胃食管交界处腺癌的腹腔镜上极食管胃切除术。

IF 2.9 3区医学 Q1 SURGERY

Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-06 DOI:10.1007/s11695-025-07901-w

Pierre Platevoet, Antoine Mariani, Lionel Rebibo, Gilles Manceau, Mehdi Karoui

{"title":"Roux-en-Y胃旁路术后残胃胃成形术治疗复发性胃食管交界处腺癌的腹腔镜上极食管胃切除术。","authors":"Pierre Platevoet, Antoine Mariani, Lionel Rebibo, Gilles Manceau, Mehdi Karoui","doi":"10.1007/s11695-025-07901-w","DOIUrl":null,"url":null,"abstract":"Roux-en-Y gastric bypass is a commonly performed procedure for the treatment of severe obesity. Oncological surgery for patients who have had a prior Roux-en-Y gastric bypass with esophagogastric cancer poses technical challenges, mainly because of the altered anatomy. We present in this video an upper polar esophagogastrectomy with gastroplasty on a gastric remnant and the reversal of Roux-en-Y gastric bypass performed in a 55-year-old woman with an anastomotic recurrence of an adenocarcinoma of the gastroesophageal junction. As far as we know, there is no report about the surgical management of an anastomotic recurrence of an adenocarcinoma of the gastroesophageal junction in a patient with altered anatomy due to RYGB and upper polar gastrectomy.","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2395-2398"},"PeriodicalIF":2.9000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Laparoscopic Upper Polar Esophagogastrectomy with Gastroplasty Using Gastric Remnant After Roux-en-Y Gastric Bypass for Recurrent Gastroesophageal Junction Adenocarcinoma.\",\"authors\":\"Pierre Platevoet, Antoine Mariani, Lionel Rebibo, Gilles Manceau, Mehdi Karoui\",\"doi\":\"10.1007/s11695-025-07901-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Roux-en-Y gastric bypass is a commonly performed procedure for the treatment of severe obesity. Oncological surgery for patients who have had a prior Roux-en-Y gastric bypass with esophagogastric cancer poses technical challenges, mainly because of the altered anatomy. We present in this video an upper polar esophagogastrectomy with gastroplasty on a gastric remnant and the reversal of Roux-en-Y gastric bypass performed in a 55-year-old woman with an anastomotic recurrence of an adenocarcinoma of the gastroesophageal junction. As far as we know, there is no report about the surgical management of an anastomotic recurrence of an adenocarcinoma of the gastroesophageal junction in a patient with altered anatomy due to RYGB and upper polar gastrectomy.\",\"PeriodicalId\":19460,\"journal\":{\"name\":\"Obesity Surgery\",\"volume\":\" \",\"pages\":\"2395-2398\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Obesity Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11695-025-07901-w\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/6 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obesity Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11695-025-07901-w","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/6 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

摘要

Roux-en-Y胃旁路术是治疗严重肥胖的常用手术。对于先前做过Roux-en-Y胃旁路手术的食管胃癌患者，肿瘤手术带来了技术挑战，主要是因为解剖结构的改变。在这段视频中，我们介绍了一名55岁的胃食管连接处腺癌吻合口复发的妇女，在胃残体上进行上极食管胃切除术并胃成形术和Roux-en-Y胃旁路逆转。据我们所知，由于RYGB和上极胃切除术导致解剖结构改变的胃食管交界处腺癌吻合口复发的手术处理尚无报道。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Laparoscopic Upper Polar Esophagogastrectomy with Gastroplasty Using Gastric Remnant After Roux-en-Y Gastric Bypass for Recurrent Gastroesophageal Junction Adenocarcinoma.

Roux-en-Y gastric bypass is a commonly performed procedure for the treatment of severe obesity. Oncological surgery for patients who have had a prior Roux-en-Y gastric bypass with esophagogastric cancer poses technical challenges, mainly because of the altered anatomy. We present in this video an upper polar esophagogastrectomy with gastroplasty on a gastric remnant and the reversal of Roux-en-Y gastric bypass performed in a 55-year-old woman with an anastomotic recurrence of an adenocarcinoma of the gastroesophageal junction. As far as we know, there is no report about the surgical management of an anastomotic recurrence of an adenocarcinoma of the gastroesophageal junction in a patient with altered anatomy due to RYGB and upper polar gastrectomy.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Obesity Surgery 医学-外科

CiteScore

5.80

自引率

24.10%

发文量

567

审稿时长

3-6 weeks

期刊介绍： Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions. Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.