Abstract
A 47-year-old male with gastric ulcer or duodenal ulcer has been follwed up at our hospital for seven years. Thirty five years ago he underwent gastrojejunostomy for pyloric stenosis. Gastrof iberscopy on June, 1982, revealed a reddish, shallow depressed area with a white coat on the lesser curvature of the antrum. Biopsied specimen of the lesion revealed adenocarinoma. Radical gastrectomy was performed on August, 1982. The lesion, 30 × 37 mm in diameter, 25 mm distant from anastomosis. Histologically, moderate differentiated tubular adenocarcinoma was limited in the mucosal layer and no lymphnodes were involved. Gastric carcinoma after gastroenterostomy is rarely seen and only 3 cases were reported as early carcinoma in the Japanese literatures. We discussed 12 cases of gastric carcinoma after gastroenterostomy reported in the Japanese literatures in comparison with gastric carcinoma after gastrectomy. For early detection of gastric carcinoma after gastrectomy or gastroenterostomy, the patient must be follwed-up by periodic endoscopic examination even if there is no sign or symptom of gastric diseases.
