1993 Volume 54 Issue 3 Pages 674-677
Recently a case of multiple gastric carcinoma occurring 19 years after gastrojejunostomy was experienced.
A 59-year-old man was referred to the hospital under a diagnosis of multiple gastric carcinoma resulting from X-ray examination, endoscopy and biopsy of the stomach at nearly hospital, to where he visited because of hematemesis in November 1987. There was a history of undergoing freeing of intestinal adhesions and gastrojejunostomy for intestinal obstruction when he was 40 years old. After admission to the hospital, operation was carried out in March 1988. Intraopertive findings included P0H0N0S2 and subtotal gastrectomy including a part of the anastomosed small intestine was radically performed. The resected specimen revealed 4 different lesions, namely, Borrmann type 2 (tub1, ss) in the pylorus vestibule, Borrmann type 1 (por, pm) in the anastomosed site of the stomach and jejunum, IIc (por, sm) in greater cuavature of the body of the stomach, and IIc (tub1, sm) in lesser cuavature of lower body of the stomach.
Occurrence of gastric carcinoma following gastrojejunostomy, especially multiple type, has been rarely reported in Japan. This case which was accompanied by a change of extensive gastritis cystica polyposa in the submucosal layer ranging from the anastomosed site to greater cuavature of the body of the stomach was very interesting. Some literature notes are also presented here.
