Adenocarcinoma of the Pouch after Silastic Ring Vertical Gastroplasty
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A 52-year-old woman was admitted because of epigastralgia, anorexia and recently increased vomiting, 2 years after silastic ring vertical gastroplasty. On gastroscopy, a tumor mass was visualized in the pouch near the "neo-pylorus". Biopsies confirmed adenocarcinoma. She underwent total gastrectomy, and has no evidence of recurrence at 1 year.The literature on gastric carcinoma after gastroplasty is reviewed.