DOI: 10.1093/bjs/znad258.266 ISSN:

571 Squamous Cell Carcinoma After Adjustable Gastric Banding - a Case Report

N Abbud, R Ackroyd
  • Surgery


Laparoscopic adjustable gastric banding (LAGB) is a widely accepted and effective bariatric procedure. Gastric cancer following bariatric surgery is uncommon, with only a few occurrences reported. There are nine incidences of gastric adenocarcinoma after gastric banding recorded in the literature. Squamous cell carcinoma (SCC) by comparison, is encountered far less in overall stomach malignancies. We describe the case of a 69-year-old woman who, seven years after having a gastric band placed, developed squamous cell cancer at the site of the band.

The patient initially presented with epigastric pain, and on endoscopy there was evidence of an ulcer at the gastric cardia. Extensive adhesions were also visualised around the gastroesophageal junction as a result of the band. Biopsies and staging laparoscopy confirmed a T3 N0, M0 R0 SCC of the stomach.

This is the first case report to document this rare sequela of events. We postulate that the squamous cell cancer developed secondary to chronic irritation at the site of the gastric band. Whilst rare, and symptoms vague, there is an argument to maintain a high index for suspicion of gastric cancer even following bariatric procedures.

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