A CASE OF BARRETT'S ESOPHAGUS DEVELOPING AFTER TOTAL GASTRECTOMY FOR MALIGNANT LYMPHOMA OF THE STOMACH

Abstract

We reported herein a case of Barrett's esophagus in which the process of development was endoscopically observed. A 61-year-old male was admitted to our hospital due to malignant lymphoma of the stomach. Total gastrectomy with splenorectomy and adjuvant chemotherapy were performed. He then developed retorosternal discomfort and hearburn after the operation. Endoscopic examination 3 months after the operation showed severe reflux esophagitis due to duodenal contents. A velvety pink mucosa appeared on the lower esophagus up to 2 cm above the anastomosis 6 months after the operation and sperad up gradually and finally 6 cm above the anastomosis 18 months after the operation. Biopsy specimen taken from the velvety pink mucosa of the esophagus showed columnar epithelium with many goblet cells and Paneth cells resembling intestinal mucosa. Also pyloric gland-like glands were found at the bottom of the mucosa. Barrett's esophagus may develop in a short period after total gastrectomy and the periodical endoscopic follow-up is recommended.