Right Colon Carcinoma Infiltrating the Alimentary Limb in a Patient With Biliopancreatic Diversion
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作者:
Lopez-Tomassetti Fernandez, Eudaldo M.
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Hosp Univ Insular Gran Canaria, Dept Gastrointestinal Surg, Las Palmas Gran Canaria, Las Palmas De G, SpainHosp Univ Insular Gran Canaria, Dept Gastrointestinal Surg, Las Palmas Gran Canaria, Las Palmas De G, Spain
Lopez-Tomassetti Fernandez, Eudaldo M.
[1
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Hernandez Hernandez, Juan Ramon
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Hosp Univ Insular Gran Canaria, Dept Gastrointestinal Surg, Las Palmas Gran Canaria, Las Palmas De G, SpainHosp Univ Insular Gran Canaria, Dept Gastrointestinal Surg, Las Palmas Gran Canaria, Las Palmas De G, Spain
Hernandez Hernandez, Juan Ramon
[1
]
Nunez Jorge, Valentine
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Hosp Univ Insular Gran Canaria, Dept Gastrointestinal Surg, Las Palmas Gran Canaria, Las Palmas De G, SpainHosp Univ Insular Gran Canaria, Dept Gastrointestinal Surg, Las Palmas Gran Canaria, Las Palmas De G, Spain
Nunez Jorge, Valentine
[1
]
机构:
[1] Hosp Univ Insular Gran Canaria, Dept Gastrointestinal Surg, Las Palmas Gran Canaria, Las Palmas De G, Spain
Biliopancreatic diversion (BPD) has excellent results, with the average patient losing 60% to 80% of the excess weight in the first 2 years. However, the BPD works by malabsorption and malabsorptive problems may be experienced with the operation. Therefore, monitoring is necessary for life. In the recent literature there is some debate over the possibility that this technique can increase the risk of colon cancer secondary to the action of the unabsorbed food and bile acid on colonic mucosa. We report the case of a 42-year-old patient with a previous bariatric surgery (BPD with 50 cm common channel; 300 cm alimentary limb) who developed a very aggressive right colon cancer 6 years after the operation. We also review our series of 330 patients operated on during a 14-year period to try to answer if there is any relationship between BPD and colon cancer.