Vemulakonda Sri Hari Priya, Sulthana Rehena, Jain Ankit, Reddy Abhinaya, Nelamangala Ramakrishnaiah Vishnu Prasad
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus. 2021 Jun 24;13(6):e15900. doi: 10.7759/cureus.15900. eCollection 2021 Jun.
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.
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。