Non-cardia gastric adenocarcinoma more than 5 years after laparoscopic sleeve gastrectomy: A case report and literature review.

Obesity is associated with an increased risk of several cancers including adenocarcinomas of the esophagus and gastric cardia but not with distal gastric cancer (GC). Laparoscopic sleeve gastrectomy (LSG) is a popular bariatric procedure. We report the fifth case in the medical literature of non-cardia gastric adenocarcinoma 63 months after LSG in a 26-year-old woman with no known recognizable risk factors. Among these five cases, the median (range) age at time of diagnosis of GC was 47 (26-64) years, the body mass index (BMI) prior to LSG was 47 (35.3-65.1) kg/m , the BMI at time of cancer diagnosis was 32 (29.3-47.0) kg/m , and the interval between LSG and diagnosis was 54 (9-63) months. Nonetheless, the link between LSG and the risk of GC remains skeptical and is discussed.