Recurrence of gastric cancer in the jejunal stump after radical total gastrectomy.
This is a very rare case of the recurrence of gastric cancer in the jejunal stump after radical total gastrectomy with Roux-en-Y reconstruction. In January 2008, a 65-year-old man underwent radical total gastrectomy with Roux-en-Y reconstruction for stage IB gastric cancer of the upper body. At a follow-up in December 2011, the patient had a recurrence of gastric cancer on gastroduodenal fibroscopy. The gastroduodenal fibroscopic biopsy specimens show a well-differentiated tubular adenocarcinoma. Computed tomography showed no lymphadenopathy or hepatic metastases. At laparotomy, there was a tumor in the jejunal stump involving the pancreatic tail and spleen. Therefore, the patient underwent jejunal pouch resection, distal pancreatectomy and splenectomy. The patient was diagnosed with gastric cancer on histopathological examination.
Jong Han Yoo, Sang Hyuk Seo, Min Sung An, Tae Kwun Ha, Kwang Hee Kim, Ki Beom Bae, Chang Soo Choi, Sang Hun Oh, Young Kil Choi, Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan 614-735, South Korea.
Jong Han
JH
Yoo
Jong Han Yoo, Sang Hyuk Seo, Min Sung An, Tae Kwun Ha, Kwang Hee Kim, Ki Beom Bae, Chang Soo Choi, Sang Hun Oh, Young Kil Choi, Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan 614-735, South Korea.
Sang Hyuk
SH
Seo
Jong Han Yoo, Sang Hyuk Seo, Min Sung An, Tae Kwun Ha, Kwang Hee Kim, Ki Beom Bae, Chang Soo Choi, Sang Hun Oh, Young Kil Choi, Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan 614-735, South Korea.
Min Sung
MS
An
Jong Han Yoo, Sang Hyuk Seo, Min Sung An, Tae Kwun Ha, Kwang Hee Kim, Ki Beom Bae, Chang Soo Choi, Sang Hun Oh, Young Kil Choi, Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan 614-735, South Korea.
Tae Kwun
TK
Ha
Jong Han Yoo, Sang Hyuk Seo, Min Sung An, Tae Kwun Ha, Kwang Hee Kim, Ki Beom Bae, Chang Soo Choi, Sang Hun Oh, Young Kil Choi, Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan 614-735, South Korea.
Kwang Hee
KH
Kim
Jong Han Yoo, Sang Hyuk Seo, Min Sung An, Tae Kwun Ha, Kwang Hee Kim, Ki Beom Bae, Chang Soo Choi, Sang Hun Oh, Young Kil Choi, Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan 614-735, South Korea.
Ki Beom
KB
Bae
Jong Han Yoo, Sang Hyuk Seo, Min Sung An, Tae Kwun Ha, Kwang Hee Kim, Ki Beom Bae, Chang Soo Choi, Sang Hun Oh, Young Kil Choi, Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan 614-735, South Korea.
Chang Soo
CS
Choi
Jong Han Yoo, Sang Hyuk Seo, Min Sung An, Tae Kwun Ha, Kwang Hee Kim, Ki Beom Bae, Chang Soo Choi, Sang Hun Oh, Young Kil Choi, Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan 614-735, South Korea.
Sang Hun
SH
Oh
Jong Han Yoo, Sang Hyuk Seo, Min Sung An, Tae Kwun Ha, Kwang Hee Kim, Ki Beom Bae, Chang Soo Choi, Sang Hun Oh, Young Kil Choi, Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan 614-735, South Korea.
Young Kil
YK
Choi
Gastric cancer; Jejunal stump; Recurrence