Case Report
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World J Gastrointest Surg. Apr 27, 2014; 6(4): 74-76
Published online Apr 27, 2014. doi: 10.4240/wjgs.v6.i4.74
Recurrence of gastric cancer in the jejunal stump after radical total gastrectomy
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
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
Author contributions: Yoo JH and Kim KH designed the report; Kim KH, Choi CS and Choi YK were the attending doctors for the patient; Kim KH and Choi YK performed the surgical operation; An MS, Ha TK and Bae KB organized the report; and Yoo JH and Seo SH wrote the paper; Oh SH organized the report.
Correspondence to: Kwang Hee Kim, MD, Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Gaegum 2-dong, Busanjingu, Busan 614-735, South Korea. inwoodog@naver.com
Telephone: +82-51-8906352 Fax: +82-51-8989427
Received: August 19, 2013
Revised: January 16, 2014
Accepted: February 18, 2014
Published online: April 27, 2014
Processing time: 273 Days and 23.4 Hours
Abstract

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.

Keywords: Gastric cancer; Recurrence; Jejunal stump

Core tip: In our study, there was a case of recurrence of gastric cancer in the jejunal stump after radical total gastrectomy with Roux-en-Y reconstruction. The patient underwent jejunal pouch resection, distal pancreatectomy and splenectomy. On histopathologic examinations, the patient was diagnosed with gastric cancer.