title: [A Case of Rectal Stenosis For Gastric Cancer Recurrence Effectively Treated with a Colonic Stent].
abstract: A man in his 70s underwent distal gastrectomy and D1 dissection with Roux-en-Y reconstruction in March 2009 for advanced gastric cancer with peritoneal metastasis. He was diagnosed with signet-ring cell carcinoma, Stage Ⅳ(T4a, N3a, H0, P1, CY1, M1) and R2. Seventeen cycles of S-1 plus CDDP were administered from April 2009 to December 2010 and 19 cycles of S-1 monotherapy were administered from January 2011 to March 2014. He developed peritoneal recurrence with serum tumor marker elevation in May 2014. Stenosis of the common bile duct, hydronephrosis, and rectal stenosis in Ra-Rs was observed in June 2014. A bile duct stent and a double J catheter was inserted. A colonic stent (NitiTM, 22 mm×6 cm) was also inserted. He could eat after the surgery and was discharged from the hospital. We suggest that a colonic stent is an effective treatment for colon stenosis due to peritoneal metastasis from gastric cancer.
authors.affiliation: Dept. of Surgery, Saka City Medical Center.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kimura
authors.forename: Ken
authors.initials: K
authors.lastname: Ebihara
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Kato
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Makari
authors.forename: Johta
authors.initials: J
authors.lastname: Mikami
authors.forename: Tomono
authors.initials: T
authors.lastname: Kawase
authors.forename: Takuya
authors.initials: T
authors.lastname: Hamakawa
authors.forename: Yuki
authors.initials: Y
authors.lastname: Tsukamoto
authors.forename: Masaki
authors.initials: M
authors.lastname: Fujimori
authors.forename: Aya
authors.initials: A
authors.lastname: Gobaru
authors.forename: Daichi
authors.initials: D
authors.lastname: Mitsudo
authors.forename: Takamasa
authors.initials: T
authors.lastname: Yabuta
authors.forename: Ken
authors.initials: K
authors.lastname: Nakata
authors.forename: Masaki
authors.initials: M
authors.lastname: Tsujie
authors.forename: Shinji
authors.initials: S
authors.lastname: Kitamura
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ohzato
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002945:Cisplatin / Q000008:administration & dosage; D004338:Drug Combinations; D017809:Fatal Outcome; D005743:Gastrectomy; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000628:therapy*; D008297:Male; D010094:Oxonic Acid / Q000008:administration & dosage; D012008:Recurrence; D015607:Stents; D013274:Stomach Neoplasms / Q000150:complications / Q000473:pathology / Q000628:therapy*; D005641:Tegafur / Q000008:administration & dosage
chemical_list: D004338:Drug Combinations; C079198:S 1 (combination); D005641:Tegafur; D010094:Oxonic Acid; D002945:Cisplatin