Abstract
A 59-year-old man was performed subtotal esophagectomy and esophagogastrostomy in the thoracic cavity for esophageal cancer in March, 1983 and pathological diagnosis was squamous cell carcinoma, sm in depth, without lymphnode metastasis. In July 1988, the patient suffered from hematemesis and dysphagia and admitted to our hospital on August 11, 1988. X-ray and endoscopic examinations of upper gastrointestinal series revealed advanced gastric carcinoma in the reconstructed stomach tube. Biopsied specimen showed papillary adenocarcinoma histopathologically. An abdominal computed tomogram revealed multiple liver metastasis. The therapy during hospitalization consisted of total parenteral nutrition and insertion of an esophageal prosthesis. The patient was getting worse gradually and died on November 29, 1988. Since similar cases are anticipated to increase in the future, endoscopic follow-up after operation for esophageal carcinoma will be an essential regimen.
