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Case Reports in Gastrointestinal Medicine
Volume 2013, Article ID 848075, 4 pages
http://dx.doi.org/10.1155/2013/848075
Case Report

Gastric Carcinoid and Obesity: Association or Coincidence? Report of Two Cases and Literature Review

1Department of Surgery, Farwaniya Hospital, 81004 Sabah Al-Naser, Kuwait
2Department of Pathology, Farwaniya Hospital, P.O. Box 3313, 22034 Salmiya, Kuwait

Received 3 December 2012; Accepted 27 December 2012

Academic Editors: S. Kikuchi and R. J. L. F. Loffeld

Copyright © 2013 Obaid Al-Harbi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bariatric surgery is a prevalent procedure due to the high incidence of obesity and comorbidities. Upper gastrointestinal endoscopy is one of the procedures used to evaluate the patient before surgery. However, its role is questionable. The incidental findings during endoscopy are variable including inflammatory diseases, and ulcers, and epithelial and stromal tumors. Herein a report of two obese sisters with incidental gastric carcinoids was diagnosed in prebariatric surgery endoscopy. Case Summary. 35- and 41-year-old female patients presented with obesity and BMI of 102 and 46 kg/m2, respectively. Both patients underwent upper gastrointestinal endoscopy as part of presurgical evaluation. Multiple polyps were indentified in both patients, and biopsy was taken. Histological examination revealed tumors that were formed by nests of epithelial cells. The cells have eosinophilic cytoplasm and monomorphic nuclei, typical morphology of neuroendocrine tumors. Conclusions. (1) Upper gastrointestinal endoscopy is an important procedure for prebariatric surgery evaluation. (2) Gastric carcinoid is a rare tumor with higher incidence among obese patients.