Perforated Carcinoma in the Gastric Remnant: A Case of Conservative Treatment Prior to Successful Curative R0 Resection
An 80-year-old man who had undergone distal gastrectomy and Billroth-II gastrojejunostomy 38 years previously, for a benign gastric ulcer, was diagnosed with remnant gastric cancer based on upper gastrointestinal endoscopy findings. He presented at our emergency department with acute-onset epigastri...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/4091952 |
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| _version_ | 1832548984871190528 |
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| author | Ken Yuu Hiroshi Kawashima Sho Toyoda Satoshi Okumura Kansuke Yamamoto Naoto Mizumura Aya Ito Hiromitsu Maehira Atsuo Imagawa Masao Ogawa Masayasu Kawasaki Masao Kameyama |
| author_facet | Ken Yuu Hiroshi Kawashima Sho Toyoda Satoshi Okumura Kansuke Yamamoto Naoto Mizumura Aya Ito Hiromitsu Maehira Atsuo Imagawa Masao Ogawa Masayasu Kawasaki Masao Kameyama |
| author_sort | Ken Yuu |
| collection | DOAJ |
| description | An 80-year-old man who had undergone distal gastrectomy and Billroth-II gastrojejunostomy 38 years previously, for a benign gastric ulcer, was diagnosed with remnant gastric cancer based on upper gastrointestinal endoscopy findings. He presented at our emergency department with acute-onset epigastric pain due to perforated remnant gastric cancer. Conservative medical management was selected, including nasogastric tube insertion, antibiotics, and proton pump inhibitors, because his peritonitis was limited to his epigastrium and his general condition was stable. Twenty-one days after the perforation occurred, curative total remnant gastrectomy and D2 lymphadenectomy were performed. Adhesion between the lateral segment of the liver and the dissected lesser curvature of the gastric remnant may have contributed to the peritonitis in this case, which was limited to the epigastrium. This is the first report of perforated remnant gastric cancer in which conservative treatment was effective prior to curative resection. The protocol reported here may be of use to other clinicians who may encounter this clinical entity in their practices. |
| format | Article |
| id | doaj-art-ea4b988e3eda438ca4c0621babd63d6f |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-ea4b988e3eda438ca4c0621babd63d6f2025-02-03T06:12:32ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/40919524091952Perforated Carcinoma in the Gastric Remnant: A Case of Conservative Treatment Prior to Successful Curative R0 ResectionKen Yuu0Hiroshi Kawashima1Sho Toyoda2Satoshi Okumura3Kansuke Yamamoto4Naoto Mizumura5Aya Ito6Hiromitsu Maehira7Atsuo Imagawa8Masao Ogawa9Masayasu Kawasaki10Masao Kameyama11Department of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanDepartment of Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, JapanAn 80-year-old man who had undergone distal gastrectomy and Billroth-II gastrojejunostomy 38 years previously, for a benign gastric ulcer, was diagnosed with remnant gastric cancer based on upper gastrointestinal endoscopy findings. He presented at our emergency department with acute-onset epigastric pain due to perforated remnant gastric cancer. Conservative medical management was selected, including nasogastric tube insertion, antibiotics, and proton pump inhibitors, because his peritonitis was limited to his epigastrium and his general condition was stable. Twenty-one days after the perforation occurred, curative total remnant gastrectomy and D2 lymphadenectomy were performed. Adhesion between the lateral segment of the liver and the dissected lesser curvature of the gastric remnant may have contributed to the peritonitis in this case, which was limited to the epigastrium. This is the first report of perforated remnant gastric cancer in which conservative treatment was effective prior to curative resection. The protocol reported here may be of use to other clinicians who may encounter this clinical entity in their practices.http://dx.doi.org/10.1155/2016/4091952 |
| spellingShingle | Ken Yuu Hiroshi Kawashima Sho Toyoda Satoshi Okumura Kansuke Yamamoto Naoto Mizumura Aya Ito Hiromitsu Maehira Atsuo Imagawa Masao Ogawa Masayasu Kawasaki Masao Kameyama Perforated Carcinoma in the Gastric Remnant: A Case of Conservative Treatment Prior to Successful Curative R0 Resection Case Reports in Surgery |
| title | Perforated Carcinoma in the Gastric Remnant: A Case of Conservative Treatment Prior to Successful Curative R0 Resection |
| title_full | Perforated Carcinoma in the Gastric Remnant: A Case of Conservative Treatment Prior to Successful Curative R0 Resection |
| title_fullStr | Perforated Carcinoma in the Gastric Remnant: A Case of Conservative Treatment Prior to Successful Curative R0 Resection |
| title_full_unstemmed | Perforated Carcinoma in the Gastric Remnant: A Case of Conservative Treatment Prior to Successful Curative R0 Resection |
| title_short | Perforated Carcinoma in the Gastric Remnant: A Case of Conservative Treatment Prior to Successful Curative R0 Resection |
| title_sort | perforated carcinoma in the gastric remnant a case of conservative treatment prior to successful curative r0 resection |
| url | http://dx.doi.org/10.1155/2016/4091952 |
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