Obesity Surgery

, Volume 6, Issue 2, pp 155–158 | Cite as

Six Cases of Barrett's Esophagus after Gastric Restrictive Surgery for Massive Obesity: An Extended Case Report

  • Erik Näslund
  • Dag Stockeld
  • Lars Granström
  • Lars Backman
Article

Objective: The purpose of this study is to report and characterize six patients who have developed Barrett's esophagus after a gastric restrictive procedure for massive obesity. Method: Retrospective analysis of patients operated with gastric banding (GB) and vertical banded gastroplasty (VBG) between 1981 and 1994. Results: Four patients (4/92) initially operated with GB have developed Barrett's esophagus a mean of 9 years post-operatively. Two patients (2/198) operated with VBG developed Barrett's esophagus 18 and 47 months post-operatively. The histopathological type of Barrett's esophagus was cardia-like in three cases, gastric-like in two cases and intestinal-like columnar epithelium in one case. None of the biopsies showed signs of dysplasia. Conclusion: Gastric banding is again gaining popularity with the development of adjustable bands that can be placed laparoscopically. The development of Barrett's esophagus after GB and VBG, a premalignant lesion, is cause for some concern. Prospective long-term studies are needed to further address this complication.

Keywords

Gastric Banding Lower Esophageal Sphincter Vertical Band Gastroplasty Acid Reflux Columnar Epithelium 

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Copyright information

© Springer 1996

Authors and Affiliations

  • Erik Näslund
    • Dag Stockeld
      • Lars Granström
        • Lars Backman

          There are no affiliations available

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