Abstract
A 60-year-old man who underwent a radical operation for an esophageal cancer 2 years and 5 months before was seen at the emergency clinic in our hospital because of right hypochondralgia. Since the patient had been administered remedy for cold involving NSAID and a leakage of a contrast material from the reconstructed gastric tube to right thoracic cavity on a fluoroscopic study, we diagnosed the case as perforation of ulcer of the reconstructed gastric tube into the right thoracic cavity. The patient was operated on. Sutures for closoure of the perforated portion with reinforcement by pericardial fat graft was successfully conducted. The ulcer was kept at H 2 stage postoperatively, but recurred 7 months after the operation. Cultivation of mucosa of the gastric tube was positive for Helicobacter pylori. which was ablated. Eight weeks later, the ulcer was improved to S 1 stage.
We think that possible participation of Helicobacter pylori must be considered, if ulcer of the reconstructed gastric tube persistently develops and recurs.
