We report an obese patient who was initially scheduled for laparoscopic Roux-en-Y gastric bypass, but who was subsequently diagnosed preoperatively with Barrett carcinoma. After incomplete endoscopic mucosectomy, laparoscopic oncologic resection (transhiatal extended cardia resection) combined with bariatric reconstruction was performed. Sufficient complication management of a small anastomotic...

characterized by fibrosis of skin and internal organs. In 70–90% of patients, the gastrointestinal tract is involved, and almost 80% of these patients have dysphagia owing to dysmotility and reflux [1]. Aperistalsis and insufficiency of the lower esophageal sphincter lead to reflux and poor acid clearance. The prevalence of Barrett metaplasia in scleroderma is 2– 3%, and the risk of development...

AIM Report of a series of 12 cases of juvenile polyposis coli. METHODS The study period was from 1995 to 2005. All the patients were treated by total colectomy with rectal mucosectomy and endorectal ileoanal pullthrough with or without ileal pouch formation. Covering ileostomy was avoided in all the cases. Time taken for the surgery, postoperative complications and continence were documented....

Colorectal cancer is the most common synchronous or metachronous cancer in patients with gastric cancer. I report two cases of synchronous and metachronous colon cancer with gastric cancer. Case 1: A 70-year-old man was admitted to our hospital for the treatment of gastric cancer, which had been diagnosed during esophagogastroduodenoscopy (EGD) screening. The recommended preoperative testing wa...