Gastric adenocarcinoma in the excluded stomach 18 years after bariatric surgery: a case report.

Gastric cancer (GC) ranks fourth in overall cancer mortality. Bariatric surgical procedures, especially the gastric bypass surgery (GBS), raise a concern about the risk of GC in the excluded stomach (ES). Diagnosis of GC in the ES is challenging due to anatomical changes and impossibility of endoscopic access to the ES. There are few reports of GC after GBS, and it occurs more in the gastric stump than in the ES. We report a case of a 54-year-old female with GC in the ES 18 years after GBS. The increasing number of GBS and the aggressiveness of the GC show how relevant this case is to emphasize the need to consider this diagnosis in patients who develop upper abdominal symptoms, anemia or weight loss.

Mangrove carbon and nutrient accumulation shifts driven by rapid development in a tropical estuarine system, northeast Brazil.

Mangrove environments are important for maintaining biodiversity and carbon cycling. However, these systems are being degraded at alarming rates around the world, particularly in rapidly developing regions. Here, we examine a sediment profile from a mangrove forest near a large port complex at Suape, northeast Brazil, in order to assess the impact of rapid urbanization and industrialization. We find that total organic carbon (TOC) and total nitrogen (TN) accumulation rates have increased in the estuary since the 1980's, directly related to rapid urban development. The TN and heavy δ15N values in the sediment column suggest increasing anthropogenic influences. In contrast, heavy metal fluxes did not increase during these transitions. The increase in TOC and TN accumulation rates during the past four decades highlight the significant role mangrove areas play as sinks for anthropogenically enhanced nutrients in poorly-understood tropical areas.

Geochemical background indicators within a tropical estuarine system influenced by a port-industrial complex.

This study aims to determine the background values for metals in the Suape estuarine system, Brazil, and to identify contamination caused by anthropogenic sources. Two cores were sampled. Sedimentation rates and metal content were analysed. The Al-normalized method was used to infer the background values, and to identify anthropic influences, the enrichment and contamination factors and the geoaccumulation index were employed. The results revealed an Mn, Ni, Zn, Ga, Pb, Sr, Ti, Mg, V and Fe content (mg kg-1) of 101.8, 5.7, 24.4, 8.3, 14.5, 41.9, 2744.6, 4581, 14.9 and ~ 1% respectively. After the installation of the Suape port, an increase in metal contents and in fluxes were recorded. Increases in Zn, Ga, V and Pb are supported by the indexes showing moderate contamination, enrichment and suggest an area moderately polluted. The other studied metals do not reflect an anthropogenic impact, with low values of contamination, enrichment factors and geoaccumulation indexes.