Bleeding Stump: A Case Report
Keywords:
Gastrojejunostomy, Endovascular graft repair, Endosonography, Gastroscopy, Billroth reconstructionAbstract
We report here an interesting case of upper Gastrointestinal (GI) bleed due to post op gastric stump carcinoma. The patientpresented with intermittent melena and symptoms of anaemia for past 3 months. He also had co-morbidities like post Gastrojejunostomy (GJ) status, chronic kidney disease, coronary artery disease, hypertension and endovascular graft repair of aortic aneurysm. While evaluating GI bleed, he was found to have post op stump early gastric cancer following which he underwent surgery. We are reporting this case due to rarity of post op stump cancer presenting after 34 years of surgery with UGI bleed. We are highlighting the importance of endoscopic surveillance to diagnose gastric cancer at an early stage in post GJ status patients.
References
Balfour DC. Factors influencing the life expectancy of patients operated on for gastric ulcer. Ann Surg 1922; 76:405– 408.
Kaneko K, Kondo H, Saito D et al. Early gastric stump cancer following distal gastrectomy. Gut 1998; 43: 342-344.
Gastric cancer – Risk factors; Sleisenger and Fordtran’s Gastrointestinal and liver diseases; 10th edition.
Igor Rabin, AndronikKapiev, Bar Chikman et al. Comparative Study of the Pathological Characteristics of Gastric Stump Carcinoma; IMAJ;
VOL 13; september 2011.
Anne C. Tersmette, G. Johan A. Offerhaus, Kasper W. F. Tersmette et al. Meta-Analysis of the Risk of Gastric Stump Cancer; Cancer
Research 50. 6486-6489, October 15. I990.
Tanigawa H, Uesugi H, Mitomi H et al; Possible association of active gastritis, featuring accelerated cell turnover and p53 overexpression,
with cancer development at anastomoses after gastrojejunostomy. Comparison with gastroduodenostomy.Am J Clin Pathol 2000.
Aya M, Yashiro M, Nishioka N et al; Carcinogenesis in the remnant stomach following distal gastrectomy with billroth II reconstruction is
associated with high-level microsatellite instability. Anticancer Res 2006.
Shinsuke Takeno, Tatsuya Hashimoto, Kenji Maki et al; Gastric cancer arising from the remnant stomach after distal gastrectomy: A
review; World J Gastroenterol2014 October 14; 20(38): 13734-13740.
Nobuhiko Tanigawa,Eiji Nomura, Sang-Woong Lee et al; Current State of Gastric Stump Carcinoma in Japan; World J Surg (2010) 34:1540–
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