Suture line recurrence in jejunal pouch replaced after total gastrectomy for gastric cancer.
We report a case of suture line recurrence in a jejunal pouch, diagnosed 4 months after total gastrectomy for advanced gastric cancer. The jejunal pouch was made with a linear stapler, without intraluminal irrigation being carried out before anastomosis, and was replaced in an interposition fashion. We propose that the recurrence was caused by the implantation of exfoliated cancer cells in either the intraluminal mucus or on a contaminated stapling device.
Miyoshi
Kazuya
K
Department of Surgery, Fukuyama National Hospital, 4-14-17 Okinogamicho, Fukuyama 720-0825, Japan.
Fuchimoto
Sadanori
S
Ohsaki
Toshihide
T
Sakata
Tatsuhiko
T
Takeda
Isao
I
Takahashi
Kenji
K
Ohkawa
Takaomi
T
Tanaka
Kimiaki
K
Matsumoto
Tomoko
T
Takakura
Norihisa
N
Motoi
Makoto
M