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Sleeve & Band: Increased Risk of Esophageal Cancer

Sleeve & Band: Increased Risk of Esophageal Cancer. Dr. Rutledge. Imagine; Your Post Op Pt. Post Op Patient Visit" "Dr., I found out the operation that you performed on me may cause cancer." "You did not tell me this." Your answer?.

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Sleeve & Band: Increased Risk of Esophageal Cancer

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  1. Sleeve & Band:Increased Risk of Esophageal Cancer Dr. Rutledge

  2. Imagine; Your Post Op Pt • Post Op Patient Visit" • "Dr., I found out the operation that you performed on me may cause cancer." • "You did not tell me this." • Your answer? MGB / OA Consensus Conference Paris Oct 18-19, Email: DrR@CLOS.Net

  3. Sleeve & Band, 30% Reflux (2yr FU), Leads to Esophageal CancerDr. Rutledge

  4. 1. GE Reflux => Esophageal CancerSurvey 120 Bariatric Surgeons"GERD Increases Risk of Cancer of Esophagus. Longer GERD = More Risk."AGREE 100%

  5. 2. Band and Sleeve => 30% GE Reflux"Sleeve gastrectomy produces an important decrease in LES pressure, which can cause reflux symptoms and esophagitis"Obes Surg. 2010 Mar;20(3):357-62. Epub 2009 Dec 15.Manometric changes of the lower esophageal sphincter after sleevegastrectomy in obese patients.Braghetto I,

  6. All patients had a pre- and postop swallow • 18% New-onset GERD on UGI • GERD score questionnaire, 22% New-onset GERD symptoms despite receiving daily Anti-Acid therapy • Surg Obes Relat Dis. 2011 Nov-Dec:Gastroesophageal reflux after sleeve gastrectomy in morbidly obese patients.Howard DD, Caban AM, Cendan JC, Ben-David K.Department of Surgery, Minimally Invasive, Gastroesophageal and Bariatric Surgery Service, University of Florida, Gainesville, Florida 32610, USA MGB / OA Consensus Conference Paris Oct 18-19, Email: DrR@CLOS.Net

  7. MGB / OA Consensus Conference Paris Oct 18-19, Email: DrR@CLOS.Net

  8. MGB / OA Consensus Conference Paris Oct 18-19, Email: DrR@CLOS.Net

  9. Survey Bariatric Surgical Experts MGB / OA Consensus Conference Paris Oct 18-19, Email: DrR@CLOS.Net

  10. Band & Sleeve MGB / OA Consensus Conference Paris Oct 18-19, Email: DrR@CLOS.Net

  11. Esophageal carcinoma after sleeve gastrectomy.Scheepers AF, Schoon EJ, Nienhuijs SW.Surg Obes Relat Dis. 2011 Jul-Aug; • Esophageal adenocarcinoma after laparoscopic gastric band placement for obesity.Stauffer JA, Mathew J, Odell JA.Dis Esophagus. 2011 Jan; • Adenocarcinoma of the lower esophagus after placement of a gastric band.Korswagen LA, Schrama JG, Bruins Slot W, Hunfeld MA.Obes Surg. 2009 Mar; MGB / OA Consensus Conference Paris Oct 18-19, Email: DrR@CLOS.Net

  12. 3. Band Sleeve => Increased Risk of Esophageal Cancer4. Surgeons Should Warn Their Patients: Risk of Esophageal Cancer after Band Sleeve

  13. Best Practices • What happens, • When your sleeve patients find that • They may be at increased risk for Esophageal Cancer • Their surgeons could or should have known about it • But Did Not Warn Them? MGB / OA Consensus Conference Paris Oct 18-19, Email: DrR@CLOS.Net

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