A Case of Gastric Cancer after Gastrojejunostomy for Congenital Hypertrophic Pyloric Stenosis

Abstract

A case of gastric cancer in a 29-year-old woman complaining of epigastric pain is reported. She had undergone gastrojejunostomy for congenital hypertrophic pyloric stenosis at the age of 3 months. The gastric cancer was identified as a Borrmann's type 3 tumor, located in the gastric body. The stomach was partially resected, but total remnant gastrectomy followed after a histological examination revealed the presence of remaining cancer cells at the cut end. Histological examination revealed a poorly differentiated adenocarcinoma; n (-), Po, Ho, se, stage III. Gastric cancer after gastrojejunostomy has been reported in 34 cases in the Japanese literature, and many of these were located in the anastomotic region. Therefore, duodenogastric reflux including bile seems to be an important factor in the mechanisms of development of gastric cancer after gastrojejunostomy.