title: Suture line recurrence in jejunal pouch replaced after total gastrectomy for gastric cancer.
abstract: 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.
authors.affiliation: Department of Surgery, Fukuyama National Hospital, 4-14-17 Okinogamicho, Fukuyama 720-0825, Japan.
authors.forename: Kazuya
authors.initials: K
authors.lastname: Miyoshi
authors.forename: Sadanori
authors.initials: S
authors.lastname: Fuchimoto
authors.forename: Toshihide
authors.initials: T
authors.lastname: Ohsaki
authors.forename: Tatsuhiko
authors.initials: T
authors.lastname: Sakata
authors.forename: Isao
authors.initials: I
authors.lastname: Takeda
authors.forename: Kenji
authors.initials: K
authors.lastname: Takahashi
authors.forename: Takaomi
authors.initials: T
authors.lastname: Ohkawa
authors.forename: Kimiaki
authors.initials: K
authors.lastname: Tanaka
authors.forename: Tomoko
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Norihisa
authors.initials: N
authors.lastname: Takakura
authors.forename: Makoto
authors.initials: M
authors.lastname: Motoi