A CASE OF THE PROTRUDED EARLY CANCER OF THE GASTRIC REMANT FOLLOWING SUBTOAL GASTRECTOMY

Abstract

The patient was fifty-six years old man, and three years before he had undergone BillrothIl subtotal gastrectomy for early gastric carcinoma in IIa+IIc type at the antrum of the stomach. Roentgenograms and endoscopic findings revealed the picture of a. protruded early gastric carcinoma at the fundus of the remnant stomach. Pathological examination revealed a poorly differentiated adenocarcinoma located within the mucosa. No metastatic lymphnode was found. The postoperative course was uneventful and the patient is alive and well one year after this total gastrectomy. This paper describes a case of early carcinoma of the gastric remnant diagnosed by endoscopic examination and reviews the late evidence of early gastric carcinoma following the partial gastrectomy for benign and malignant disease. From these findings we would like to emphasize that earlier diagnosis should be made by wareness of possibility of such lesion in patients having undergone gastric surgery and the performance of endoscopic studies with target biopsies.