KULeuven, Leuven, Belgium.
UZLeuven, Leuven, Belgium.
Obes Surg. 2019 Mar;29(3):1083-1085. doi: 10.1007/s11695-019-03708-8.
The prevalence of morbid obesity has been increasing worldwide. Therefore, multiple laparoscopic adjustable gastric bandings (LAGBs) have been placed in Belgium in the nineties. The procedure was considered as minimal invasive with low morbidity rates. However, some publication cases suggest a possible association between LAGB and the onset of an esophageal cancer. We present a case of a 49-year-old female who consulted for dysphagia, epigastric pain, and anorexia 17 years after LAGB. An esophageal squamous cell carcinoma was diagnosed in the distal esophagus, close to the lap band. The diagnostic value of the performed contrast swallow study seemed limited. We suggest that a routinely gastroscopic evaluation in the long-term follow-up after LAGB should be strived for in patients presenting with late-onset dysphagia.
病态肥胖的患病率在全球范围内不断增加。因此，九十年代在比利时进行了多次腹腔镜可调节胃束带术（LAGB）。该手术被认为是微创的，发病率低。然而，一些出版物病例表明 LAGB 与食管癌的发生之间可能存在关联。我们报告了一例 49 岁女性的病例，她在 LAGB 后 17 年因吞咽困难、上腹痛和食欲不振就诊。在食管远端靠近束带处诊断出食管鳞状细胞癌。进行的对比吞咽研究的诊断价值似乎有限。我们建议，对于出现迟发性吞咽困难的患者，应在 LAGB 后的长期随访中常规进行胃镜检查。
