@article{Tartamella_Petracca_Romboli_Marchesi_2018, title={Laparoscopic gastric bypass with remnant gastrectomy in a super-super obese patient with gastric metaplasia: a surgical hazard?}, volume={88}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/6671}, DOI={10.23750/abm.v88i4.6671}, abstractNote={<p class="p1">The endoscopic inaccessibility of the gastric remnant after Roux-en-Y gastric bypass (RYGBP) for morbid obesity represents an important issue for patients with familiar history of gastric cancer (GC) or affected by premalignant lesions, such as intestinal metaplasia. If a different bariatric procedure is contraindicated, RYGBP with remnant gastrectomy represents a reasonable alternative, significantly reducing the risk of GC but potentially increasing postoperative morbidity. For this reason, only few cases have been reported in the recent Literature and none regarding a super-super obese patient. We present the case of a 55-year-old super-super obese man with a family history of GC and antral gastritis with extensive intestinal metaplasia at preoperative upper endoscopy, who underwent laparoscopic RYGBP with remnant gastrectomy.</p>}, number={4}, journal={Acta Biomedica Atenei Parmensis}, author={Tartamella, Francesco and Petracca, Gabriele and Romboli, Andrea and Marchesi, Federico}, year={2018}, month={Jan.}, pages={491–495} }