Abstract
A case of gastic cancer revealed 5 years after a duodenum preserving pancreas head resection is reported.
A 52-year-old man visited a local practitioner because of heart burn, and was referred to the hospital for operation with a diagnosis of gastric cancer. There was a previous history of undergoing a duodenum preserving pancreas head resection (choledocho-duodenostomy, side to side pancreatico-jejunostomy) for chronic pancreatitis. Endosocopic examination and barium meal study of the gastrointestinal tract revealed a type 4 lesion of the stomach. A total gastrectomy with reconstruction of ρ-Roux-en-Y fashion was performed. Pathological diagnosis was sig, ss, INFγ, ly0, v0, ow (-), aw (-), n1 (+), in stage II and curability A. There has been no sign of recurrence and the patient is strictly followed up on an ambulant basis. It is inferred that the digestive function preserving operations will be increasingly performed, in that postoperative follow up of the preserved organs should not be neglected. In case of malignancy after the digestivoe function preserving operation, management of curativity and the preserved function is important at surgery.
