[A Case Report of Maintaining Continuous Ambulatory Peritoneal Dialysis after Total Gastrectomy for Perforated Gastric Cancer with ESD].

A 73-year-old man, receiving maintenance continuous ambulatory peritoneal dialysis(CAPD)was admitted to our hospital for chief complaining of heartburn. Gastrointestinal endoscopy disclosed 0- II a on the greater curvature of the upper gastric body. On further examination, the clinical diagnosis was defined as gastric cancer and c-stage I A(cT1aN0M0). The patient was recovered with conservative treatment from the perforated peritonitis after undergoing endoscopic submucosal dissection(ESD). Pathology revealed pT1b, INF b, UL(-), ly2, v0, pHM0, pVM0, for which he underwent total gastrectomy after changed to temporary hemodialysis(HD). On the 3rd postoperative day, blood examination showed WBC and CRP value of 16,100/mL and 20.282mg/dL, respectively. On the 6th postoperative day, nasal endoscopy revealed no anastomotic leakage and started oral take. The patient was discharged on the 20th postoperative day with changed to CAPD from the 7th postoperative day.