A Case of Gastric Cancer after Gastrojejunostomy for Congenital Hypertrophic Pyloric Stenosis

Hideaki Nishidoi, Minoru Ishiguro, Hirofumi Kudoh, Satoshi Murakami, Tadao Masaki, Haruka Taniguchi

Department of Surgery, Tottori Red Cross Hospital

A case of gastric cancer in a 29-year-old woman complaining of epigastric pain is reported. She had undergone gastrojejunostomy for congenital hypertrophic pyloric stenosis at the age of 3 months. The gastric cancer was identified as a Borrmann's type 3 tumor, located in the gastric body. The stomach was partially resected, but total remnant gastrectomy followed after a histological examination revealed the presence of remaining cancer cells at the cut end. Histological examination revealed a poorly differentiated adenocarcinoma; n (-), Po, Ho, se, stage III. Gastric cancer after gastrojejunostomy has been reported in 34 cases in the Japanese literature, and many of these were located in the anastomotic region. Therefore, duodenogastric reflux including bile seems to be an important factor in the mechanisms of development of gastric cancer after gastrojejunostomy.

Key words
gastric cancer after gastrojejunostomy, congenital hypertrophic pyloric stenosis, gastric carcinogenesis

Reprint requests
Hideaki Nishidoi Department of Surgery, Tottori Red Cross Hospital
117 Shoutoku-cho, Tottori, 680 JAPAN

Accepted
November 11, 1992

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