A case of cancer in the dilated jejunal pouch after total gastrectomy
Sawano, T.; Kawasaki, H.; Wajima, N.; Kimura, A.; Nakai, M.; Nakayama, Y.; Yonaiyama, S.; Hakamada, K.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 40(12): 1723-1725
2013
ISSN/ISBN: 0385-0684 PMID: 24393901 Document Number: 670672
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.