Re: "Laparoscopic Roux-en-Y Gastric Bypass: Surgical Technique and Tips for Success".

Re: “Laparoscopic Roux-en-Y Gastric Bypass: Surgical Technique and Tips for Success” (J Laparoendosc Adv Surg Tech A 2018;28:938–943

The importance of long-term postoperative follow-up, including low threshold for endoscopic examination of the remnant stomach after Roux-en-Y gastric bypass.

Dear Sir, We have read with great interest the case report written by Patrascu et al. (J Minim Access Surg. 2018 Jan-Mar; 14(1):68-70) titled ‘A delayed acute complication of bariatric surgery: Gastric remnant haemorrhagic ulcer after Roux-en-Y gastric bypass’. [...

Linitis Plastica of the bypassed stomach 7 years after Roux-en-Y gastric bypass. A Case Report.

Laparoscopic Roux-en-Y gastric bypass (RYGB) is currently the preferred surgical procedure to treat morbid obesity. It has proven its effects on excess weight loss and its positive effect on comorbidities. One of the main issues, however, is the postoperative evaluation of the bypassed gastric remnant. In literature, cancer of the excluded stomach after RYGB is rare. We describe the case of a 52-year-old woman with gastric linitis plastica in the bypassed stomach after Roux-en-Y gastric bypass, diagnosed by means of laparoscopy and Single-Balloon enteroscopy, and it's clinical importance. Linitis plastica of the excluded stomach after RYGB is a very rare entity. This case report shows the importance of long-term postoperative follow-up, and the importance of Single-Balloon enteroscopy for visualization of the bypassed stomach remnant, when other investigations remain without results. This case report is only the second report of a linitis plastica in the bypassed stomach after Roux-en-Y gastric bypass