A Case of Early Gastric Cancer after Pylorus-preserving Pancreatoduodenectomy

Takashi Emoto, Kiyoshi Yoshikawa, Tsutomu Dousei, Masahiro Fujikawa, Makoto Fujii, Yasuhiko Yoshioka, Yoshihisa Naka, Takamitu Komaki, Takenori Yokota and Tomofumi Oda

Department of Surgery, Osaka Rosai Hospital

We report a case of early gastric cancer after pylorus-preserving pancreatoduodenectomy (PpPD). A 72-year-old man underwent UGI and gastrofiberscopy in follow-up after PpPD for pancreatic head cancer (mucinous cystadenocarcinoma) 4 years earlier. In gastrofiberscopy, IIa+IIc lesion was observed in the major curvature of the antrum, occupying 2 cm of the distal side apart from the pancreaticogastrostomy. A diagnosis of gastric cancer was made preoperatively, and distal gastrectomy conducted with B-II reconstruction for preserving the pancreaticogastrostomy. Microscopic examination showed moderately differentiated adenocarcinoma limited to the submucosal layer without lymphatic metastasis. Given increasing PpPD, the preserved stomach should be followed up carefully.

Key words
gastric cancer, pylorus-preserving pancreatoduodenectomy, pancreatogastrostomy

Reprint requests
Takashi Emoto Department of Surgery, Osaka Rosai Hospital 1179-3 Nagasone-cho, Sakai, 591-8025 JAPAN

Accepted
November 27, 2001

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