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Carcinoma of esophagus after adjustable gastric banding
Kylie L Snook1, James D Ritchie
1Keyhole Surgery Centre and Royal North Shore Hospital, Sydney, Australia.
Abstract:
Patients who have undergone gastric banding may develop gastroesophageal reflux disease (GERD) with ulceration. This should be treated with band adjustment, proton pump inhibitors, and routine follow-up endoscopies to confirm healing. Surgical revision or reversal should be considered if the process is resistant to band deflation and medical therapy. Persistent dysphagia must be investigated. A patient is presented whose pre-existing GERD was aggravated by adjustable gastric banding and who developed carcinoma of esophagus with liver metastases 8 years after the insertion of her first band.
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