title: [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.affiliation: Dept. of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine.
authors.forename: Takeyuki
authors.initials: T
authors.lastname: Sawano
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kawasaki
authors.forename: Naoki
authors.initials: N
authors.lastname: Wajima
authors.forename: Akitoshi
authors.initials: A
authors.lastname: Kimura
authors.forename: Makoto
authors.initials: M
authors.lastname: Nakai
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Nakayama
authors.forename: Shinnosuke
authors.initials: S
authors.lastname: Yonaiyama
authors.forename: Kenichi
authors.initials: K
authors.lastname: Hakamada
mesh_terms: D000713:Anastomosis, Roux-en-Y; D005743:Gastrectomy; D006801:Humans; D007580:Jejunal Neoplasms / Q000556:secondary* / Q000601:surgery; D007583:Jejunum / Q000601:surgery*; D018442:Lymphoma, B-Cell, Marginal Zone / Q000601:surgery*; D008297:Male; D012008:Recurrence; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery