title: Suture-line recurrence at a jejunojejunal anastomosis after gastrectomy for gastric cancer.
abstract: Local recurrence at a gastrojejunal anastomosis is common in patients after gastrectomy for gastric carcinoma, but recurrence at a jejunojejunal anastomosis without recurrence at a gastrojejunal anastomosis is extremely rare. We report a case of suture-line recurrence at a jejunojejunal anastomosis without recurrence at the gastrojejunal anastomosis or in the remnant stomach in a patient 23 months after receiving a Billroth II gastrectomy for gastric cancer. We attributed the implantation of cancer cells at the jejunojejunal anastomosis to contamination of the stapler with cancer cells exfoliated in the gastric mucus during the construction of the gastrojejunal anastomosis. We therefore consider that different surgical instruments, such as automatic anastomotic devices and automatic suturing devices, must be used in each phase of the surgical procedure for gastric cancer.
authors: Second Department of Surgery, Democritus University of Thrace, Dragana, Alexandroupolis, Greece.
authors: Alexandros
authors: A
authors: Polychronidis
authors: Prodromos
authors: P
authors: Laftsidis
authors: Alexandra
authors: A
authors: Giatromanolaki
authors: Sebachedin
authors: S
authors: Perente
authors: Anastasios
authors: A
authors: Bounovas
authors: Constantinos
authors: C
authors: Simopoulos
mesh_terms: D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000473:pathology / Q000601:surgery*; D009364:Neoplasm Recurrence, Local; D013274:Stomach Neoplasms / Q000601:surgery*; D017792:Surgical Stapling; D013536:Suture Techniques; D013537:Sutures; D016896:Treatment Outcome