A case of gastric cancer in the reconstructed gastric tube after radical resection for esophageal cancer and an analysis of 118 cases reported in japan

Abstract

We treated a case of carcinoma arising in the reconstructed gastric tube after radical surgery for esophageal cancer. A 64-year-old man with esophageal cancer had undergone subtotal thoracic esophagectomy and retro-sternal reconstruction using a gastric tube 5 years and 6 months earlier he developed an anemia. A Borrmann type 3 advanced cancer was discovered in the lower part of the gastric tube. Total resection of the gastric tube and an ante-thoracic reconstruction using the right half of the colon and ileum were performed in July 2005. On pathology, a well differentiated adenocarcinoma, intermediate type, INFβ, ly0, v0, mp, N0, H0, P0, M0, StageIB was found. Currently, the patient is healthy without any signs of recurrence. We reviewed 118 reported cases of gastric cancer occurring after esophagectomy. To ensure the early detection of gastric cancer after esophagectomy, periodic follow-up endoscopy should be done.