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Case Reports in Surgery
Volume 2015, Article ID 468293, 3 pages
http://dx.doi.org/10.1155/2015/468293
Case Report

Gastric Cancer in the Excluded Stomach 10 Years after Gastric Bypass

Departamento de Cirurgia Minimamente Invasiva, Hospital São José do Avaí, 28300-000 Itaperuna, RJ, Brazil

Received 15 April 2015; Accepted 4 June 2015

Academic Editor: Fausto Catena

Copyright © 2015 Augusto Tinoco 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

According to the Brazilian health authorities, around 2,000 new cases of gastric cancer emerge in Brazil per year (Instituto Nacional de Câncer José Alencar Gomes da Silva, 2014). Indeed, gastric cancer constitutes the second most common cause of cancer-related mortality worldwide and 95% of such malignancies are adenocarcinomas (De Roover et al., 2006, and Clark et al., 2006). Roux-en-Y gastric bypass (RYGB) is a procedure frequently employed in bariatric surgery but restricted access to the excluded stomach means that discovery of gastric lesions is difficult, and diagnosis and treatment may be delayed. We report herein a case of gastric adenocarcinoma in the excluded stomach of a patient submitted to RYGB with the purpose of illustrating the difficulty of diagnosing and treating this rare condition.