An Endoscopically treated Case Of Multiple Early Gastric Cancers in the Reconstructed Stomach after Esophagectomy

Abstract

We reported an endoscopically treated case of multiple early gastric cancers in the reconstructed stomach after esophagectomy. The patient was a 60-year-old male who had received an operation 4 years previously for the treatment of early esophageal cancer. Three early gastric cancers in the reconstructed stomach were detected by endoscopy in January 2000. One lesion was located in the posterior wall of the middle-third of the reconstructed stomach, while the others were located in the lower-third of the reconstructed stomach. The macroscopic types were IIa＋IIc type in one lesion, and IIc type in the others. All lesions were treated by endoscopic mucosal resection using a cap-fitted panendoscope (EMRC) . One lesion was also treated with laser irradiation following the EMRC. To detect early cancers in reconstructed stomachs that can be treated radically using endoscopic procedures, postoperative endoscopic follow-ups in reconstructed stomachs are necessary. Carefull attention to reddish erosions, especially in the lower-third of the reconstructed stomach, should be made.