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Gastric Cancer After Bariatric Surgeries
Kang Min Youk1, Jeesun Kim1, Yo-Seok Cho1
1Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Journal of Metabolic and Bariatric Surgery
|March 17, 2023
Summary
Bariatric surgery is increasingly common in Korea. This review examines gastric cancer incidence after common procedures, highlighting Roux-en-Y gastric bypass challenges with standard gastroscopy screening.
Area of Science:
- Bariatric surgery
- Gastroenterology
- Surgical oncology
Background:
- Bariatric surgery coverage expanded in Korea in 2019, leading to increased procedures.
- Common bariatric surgeries include adjustable gastric banding, sleeve gastrectomy, and Roux-en-Y gastric bypass.
- Korea has a high incidence of gastric cancer, with screening recommended after age 40.
Purpose of the Study:
- To review the incidence of gastric cancer following major bariatric surgery types.
- To provide a reference for selecting appropriate bariatric surgery in the Korean context.
- To address the challenges of post-Roux-en-Y gastric bypass gastroscopy.
Main Methods:
- Literature review of studies on bariatric surgery and gastric cancer.
- Analysis of surgical methods considering patient conditions and Korean healthcare guidelines.
- Investigation into the feasibility of conventional gastroscopy after Roux-en-Y gastric bypass.
Main Results:
- Roux-en-Y gastric bypass presents difficulties for conventional endoscopic screening due to altered anatomy.
- The review synthesizes data on gastric cancer risk across different bariatric procedures.
- Specific data on gastric cancer incidence post-bariatric surgery in Korea requires further investigation.
Conclusions:
- The choice of bariatric surgery in Korea must consider the high prevalence of gastric cancer and screening requirements.
- Roux-en-Y gastric bypass may require adapted or alternative surveillance methods for gastric cancer.
- Further research is needed to establish optimal gastric cancer surveillance protocols post-bariatric surgery in Korea.
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