A CASE OF INTRACTABLE REFLUX ESOPHAGITIS POST PROXIMAL GASTRECTOMY FOR WHICH LOWER ESOPHAGECTOMY AND REMNANT GASTRECTOMY PROVED EFFECTIVE

Abstract

We report a case of intractable reflux esophagitis due to proximal gastrectomy. A 62-year-old man had undergone proximal gastrectomy reconstructed by esophagogastrostomy for early gastric cancer in another hospital in 1999, and was admitted to our hospital in December 2003 because of heartburn. He was already diagnosed with reflux esophagitis and given several medications, but his symptoms were not improved. Esophagoscopy showed reflux esophagitis and esophageal ulcer in his lower esophagus. Since his subjective and objective symptoms were not ameliorated, he underwent lower esophagectomy and remnant gastrectomy reconstructed by the Roux-en Y method via a left thoracotomy and laparotomy in December 2004. Now, he does not suffer from reflux symptoms. This procedure was effective for reflux esophagitis post proximal gastrectomy.