Linitis Plastica Presenting as Pouch Outlet Stenosis 13 Years after Vertical Banded Gastroplasty

Area of Science:

• Gastroenterology
• Surgical Oncology
• Bariatric Surgery

Background:

• Vertical banded gastroplasty (VBG) is a bariatric procedure that can lead to long-term complications.
• Gastric carcinoma is a concern following gastric surgery, particularly with altered anatomy.

Purpose of the Study:

• To investigate the potential increased incidence of gastric carcinoma after VBG and other gastric reductive surgeries.
• To highlight the importance of long-term surveillance for gastric cancer in this patient population.

Main Methods:

• Case report of a patient with linitis plastica 13 years post-VBG.
• Literature review comparing gastric carcinoma incidence after gastric surgery for benign disease versus the general population.
• Discussion of endoscopic findings in VBG patients.

Main Results:

• A patient developed advanced gastric cancer (linitis plastica) 13 years after VBG.
• Gastric carcinoma incidence may be elevated after gastric resective procedures.
• Worrisome mucosal changes have been observed in VBG patients' pouch outlets.

Conclusions:

• The risk of gastric carcinoma following VBG and other bariatric procedures requires further investigation.
• Long-term endoscopic surveillance with biopsies is essential for early detection of gastric cancer in these patients.