Marginal ulcer on the jejunum after proximal gastrectomy by jejunal interposition.
Marginal ulcer after proximal gastrectomy has never been previously reported, despite that this procedure preserves the fundic gland area of the stomach, which secretes gastric acid. In this report, we describe a patient who developed a marginal ulcer on the oral side of the gastrojejunal anastomosis after proximal gastrectomy by jejunal interposition. This case serves as a reminder that gastric acid secretion of the remnant stomach must be carefully monitored after proximal gastrectomy in gastric cancer surgery.
Kikuchi
S
S
Department of Surgery, School of Medicine, Kitasato University, 1-15-1, Kitasato, Sagamihara-shi, Kanagawa 228, Japan.
Hirai
T
T
Katada
N
N
Kobayashi
N
N
Shimao
H
H
Sakakibara
Y
Y
Hiki
Y
Y
Kakita
A
A
D000714:Anastomosis, Surgical; D005743:Gastrectomy / Q000379:methods*; D005744:Gastric Acid / Q000378:metabolism; D006801:Humans; D007579:Jejunal Diseases / Q000175:diagnosis / Q000209:etiology*; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014456:Ulcer / Q000175:diagnosis / Q000209:etiology*