Salameh Yara, Abou Zeid Hadi K, Gala Khushboo S, Kumari Roopa, Storm Andrew C
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
ACG Case Rep J. 2025 Jul 18;12(7):e01775. doi: 10.14309/crj.0000000000001775. eCollection 2025 Jul.
Weight recurrence is a late complication after Roux-en-Y gastric bypass. The transoral outlet reduction (TORe) emerged as an endoscopic alternative to revisional surgery for weight recurrence due to a dilated and incompetent gastrojejunal anastomosis. The procedure has been documented as safe and effective in clinical trials and other high-quality medical literature. Several cases of squamous metaplasia of the gastric pouch after repeated TORe procedures using argon plasma coagulation have been reported. We present a case of a late-onset adenocarcinoma of the gastrojejunal anastomosis after a TORe procedure performed using argon plasma coagulation and suturing.
体重反弹是Roux-en-Y胃旁路术后的一种晚期并发症。经口缩窄术（TORe）作为一种内镜治疗方法，可替代因胃空肠吻合口扩张和功能不全导致体重反弹的翻修手术。该手术在临床试验和其他高质量医学文献中已被证明是安全有效的。有报道称，使用氩等离子体凝固术反复进行TORe手术后，胃囊出现了几例鳞状化生。我们报告一例在使用氩等离子体凝固术和缝合术进行TORe手术后发生的胃空肠吻合口迟发性腺癌病例。
