CASE REPORT   

Chirurgia 2020 December;33(6):344-6

DOI: 10.23736/S0394-9508.19.05082-4

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Barrett’s ulcer 5 years after sleeve gastrectomy: case report and literature review

Ozan ŞEN ^{1, 2} ✉, Ahmet TÜRKÇAPAR ¹

¹ Unit of Bariatric Surgery, Obesity Center, Türkçapar Bariatrics, Istanbul, Turkey; ² Department of Health Sciences, Nişantaşi University, Istanbul, Turkey

Bariatric surgery is the most effective way to treat morbid obesity. Among the surgical methods, sleeve gastrectomy’s popularity (SG) has increased tremendously in recent years. Despite the success of the SG, gastro esophageal reflux disease (GERD) remains to be an important problem, postoperatively. Barrett’s esophagus (BE) is another considerable point in patients with GERD after SG. GERD, which may occur after SG, is perhaps a serious problem that is underestimated. In such patients with GERD symptoms, preferred approach by bariatric surgeons is to start PPI treatment, which works for the majority of patients. Barrett’s esophagus is a precancerous lesion develops on the surface of GERD. Because esophageal mucosa gets desensitizes in Barrett metaplasia, some patients may be completely asymptomatic. In the long-term period after SG endoscopic follow up is very important whether patients are symptomatic or not. Here, we present the case of a patient who had no GERD symptoms and had completely normal endoscopy preoperatively who later developed dysplastic Barrett’s ulcer 5 years after SG. Roux-en-y gastric bypass operation was performed as revisional surgery.

KEY WORDS: Bariatric surgery; Gastrectomy; Gastroesophageal reflux; Barrett esophagus