Abstract
A 61-year old female with ulcerative colitis (UC), who had received medical treatment for 2 years, was admitted due to an aggravation of the disease. Although extensive medical treatments with high doses of prednisolone (up to 60 mg per day), cyclosporine, and granulocytapheresis, were carried out, the symptoms did not improve. In an examination for upper-abdominal discomfort, a gastroendoscopy was performed, which revealed gastric cancer at an advanced stage (type 3, c T2 (MP) N0 M0 stage Ib). A simultaneous laparoscopic subtotal colectomy with ileostomy and a distal gastrectomy reconstructed by Roux-en-Y was performed successfully. The postoperative course was uneventful, and she was discharged on 24 POD. To the best of our knowledge, this paper is the first to report a simultaneous laparoscopic surgery in the treatment of UC accompanied by gastric cancer.
