A CASE OF ACUTE GASTRIC MUCOSAL BLEEDING AND EARLY GASTRIC CANCER IN THE RECONSTRUCTED STOMACH TUBE AFTER OPERATION OF ESOPHAGEAL CANCER

Abstract

Recently we treated a patient with acute gastric mucosal bleeding and early gastric cancer in the reconstructed stomach tube, who received esophagectomy and reconstruction using stomach tube for esophageal cancer 3 years and 2 months ago. Acute gastric mucosal bleeding was successfully controlled by conservative therapy, and early gastric cancer was managed by endoscopic resection using electric knife. Twenty four hours PH measurement, mucosal blood flow measurement and internal pressure measurement for the reconstructed stomach tube was done, which showed resid-ual acid secretion and destruction of mucosal barrier seemed to play an important role in the development of acute gastric mucosal bleeding.