[A case of cancer in the dilated jejunal pouch after total gastrectomy].

Abstract

We report a case of cancer in the dilated jejunal pouch after total gastrectomy, in which we resected the jejunal pouch. The patient was a man in his 60s and had a history of total gastrectomy with jejunal pouch ρ-interposition for mucosa-associated lymphoid tissue (MALT) lymphoma in 1994. In late July 2012, he presented to the emergency department with a protracted ileus-like symptom and was admitted to the gastroenterological department after the diagnosis of a dilated jejunal pouch. He was managed conservatively; however, the same symptom recurred. Examinations showed a duodenal carcinoma and cancer in the jejunal pouch; therefore, he was referred for digestive surgery in early August. Endoscopic mucosal resection( EMR) was performed on the duodenal carcinoma, and we resected the jejunal pouch with Roux-en-Y reconstruction for the jejunal cancer. He recovered from postoperative wound infection and was discharged 15 days after the second operation.

• Authors: Takeyuki Sawano, Hitoshi Kawasaki, Naoki Wajima, Akitoshi Kimura, Makoto Nakai, Yoshihito Nakayama, Shinnosuke Yonaiyama, Kenichi Hakamada
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 40 Issue 12 Pg. 1723-5 (Nov 2013) ISSN: 0385-0684 [Print] Japan
• PMID: 24393901 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Topics

• Anastomosis, Roux-en-Y
• Gastrectomy
• Humans
• Jejunal Neoplasms (secondary, surgery)
• Jejunum (surgery)
• Lymphoma, B-Cell, Marginal Zone (surgery)
• Male
• Recurrence
• Stomach Neoplasms (pathology, surgery)