sleeve & band: increased risk of esophageal cancer dr. rutledge
TRANSCRIPT
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Sleeve & Band:Increased Risk of Esophageal
Cancer
Dr. Rutledge
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Imagine; Your Post Op Pt
•Post Op Patient Visit"•"Dr., I found out the
operation that you performed on me may cause cancer."
•"You did not tell me this."•Your answer?
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Sleeve & Band,
30% Reflux (2yr FU),
Leads to Esophageal Cancer
Dr. Rutledge
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1. GE Reflux => Esophageal Cancer
Survey 120 Bariatric Surgeons
"GERD Increases Risk of Cancer of Esophagus. Longer GERD = More
Risk."
AGREE 100%
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2. Band and Sleeve => 30% GE Reflux
"Sleeve gastrectomy produces an important decrease in LES
pressure, which can cause reflux symptoms and esophagitis"
Obes Surg. 2010 Mar;20(3):357-62. Epub 2009 Dec 15.Manometric changes of the lower esophageal sphincter after sleevegastrectomy in obese patients.Braghetto I,
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•All patients had a pre- and postop swallow
•18% New-onset GERD on UGI •GERD score questionnaire, 22% New-onset GERD symptoms despite receiving daily Anti-Acid therapy
• Surg Obes Relat Dis. 2011 Nov-Dec:Gastroesophageal reflux after sleeve gastrectomy in morbidly obese patients. Howard DD, Caban AM, Cendan JC, Ben-David K. Department of Surgery, Minimally Invasive, Gastroesophageal and Bariatric Surgery Service, University of Florida, Gainesville, Florida 32610, USA
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0
5
10
15
20
25
MOB RNY Sleeve Band
Pre op GE Reflux rate (%)
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0
5
10
15
20
25
30
MOB RNY Sleeve Band
Postop GE Reflux rate (%)
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Survey Bariatric Surgical Experts
0%
20%
40%
60%
80%
100%
Band Sleeve RNY MGB
GE Reflux is Common
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Band & Sleeve
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• Esophageal carcinoma after sleeve gastrectomy. Scheepers AF, Schoon EJ, Nienhuijs SW. Surg Obes Relat
Dis. 2011 Jul-Aug;
• Esophageal adenocarcinoma after laparoscopic gastric band placement for obesity. Stauffer JA, Mathew J, Odell JA. Dis Esophagus. 2011 Jan;
• Adenocarcinoma of the lower esophagus after placement of a gastric band. Korswagen LA, Schrama JG, Bruins Slot W, Hunfeld
MA. Obes Surg. 2009 Mar;
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3. Band Sleeve => Increased Risk of Esophageal Cancer
4. Surgeons Should Warn Their Patients: Risk of Esophageal Cancer
after Band Sleeve
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Best Practices
• What happens,• When your sleeve patients find
that• They may be at increased risk for
Esophageal Cancer• Their surgeons could or should
have known about it • But Did Not Warn Them?