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胃癌:儿童期施行袢式胃空肠吻合术的一种意外并发症。

Gastric Carcinoma: An Unexpected Complication of Loop Gastro-Jejunostomy Done in Childhood.

作者信息

Vemulakonda Sri Hari Priya, Sulthana Rehena, Jain Ankit, Reddy Abhinaya, Nelamangala Ramakrishnaiah Vishnu Prasad

机构信息

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

出版信息

Cureus. 2021 Jun 24;13(6):e15900. doi: 10.7759/cureus.15900. eCollection 2021 Jun.

DOI:10.7759/cureus.15900
PMID:34322345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8310393/
Abstract

Gastric adenocarcinoma is the fifth most common cancer worldwide and the third leading cause of death. The major risk factors include Helicobacter pylori infection, genetic factors, environmental factors, and atrophic gastritis. Gastric remnant cancer is gastric carcinoma that develops in the remnant stomach more than five years after distal gastrectomy for benign disease, incidence ranging from 1% to 8%. However, gastric carcinoma after loop gastro-jejunostomy without gastric resection for benign etiology is rare. We report a case of a 45-year-old lady with gastro-jejunostomy without gastric resection done in childhood, presenting with adenocarcinoma at the anastomotic site after 35 years.

摘要

胃腺癌是全球第五大常见癌症,也是第三大死亡原因。主要危险因素包括幽门螺杆菌感染、遗传因素、环境因素和萎缩性胃炎。残胃癌是指因良性疾病行远端胃切除术后五年以上残胃发生的胃癌,发病率为1%至8%。然而,因良性病因行空肠袢式胃造口术而未进行胃切除术后发生胃癌的情况较为罕见。我们报告一例45岁女性病例,其在儿童时期接受了空肠袢式胃造口术而未进行胃切除,35年后吻合口处出现腺癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce0/8310393/91f320d31807/cureus-0013-00000015900-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce0/8310393/4823be607c3d/cureus-0013-00000015900-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce0/8310393/91f320d31807/cureus-0013-00000015900-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce0/8310393/4823be607c3d/cureus-0013-00000015900-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce0/8310393/91f320d31807/cureus-0013-00000015900-i02.jpg

相似文献

1
Gastric Carcinoma: An Unexpected Complication of Loop Gastro-Jejunostomy Done in Childhood.胃癌:儿童期施行袢式胃空肠吻合术的一种意外并发症。
Cureus. 2021 Jun 24;13(6):e15900. doi: 10.7759/cureus.15900. eCollection 2021 Jun.
2
[Helicobacter pylori infection in gastric remnant cancer after gastrectomy].胃切除术后残胃癌中的幽门螺杆菌感染
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Role of bile reflux and Helicobacter pylori infection on inflammation of gastric remnant after distal gastrectomy.胆汁反流和幽门螺杆菌感染在远端胃切除术后残胃炎中的作用。
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[Laparoscopic Gastro-Jejunostomy Using the Overlap Method after Subtotal Gastrectomy for Upper Gastric Cancer].
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[The affect of Helicobacter pylori and bile acids as the pathogenesis of gastritis of the remnant stomach after distal partial gastrectomy].[幽门螺杆菌和胆汁酸对远端胃部分切除术后残胃炎发病机制的影响]
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本文引用的文献

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Risk factors predisposing to cardia gastric adenocarcinoma: Insights and new perspectives.易患贲门胃腺癌的危险因素:深入了解和新视角。
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不同胃空肠直径的胃旁路手术相关并发症
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