内視鏡的粘膜切除術が可能であった残胃早期癌の3例

磯部 陽; 窪地 淳; 島田 敦; 竹内 裕也; 松井 孝至; 大石 崇; 池内 駿之; 島 伸吾; 古宮 憲一; 鈴木 雅之; 田中 伸

doi:10.11641/pde.58.2_60

Case report

Three Cases of Early Cancer in the Remnant Stomach Treated by Endoscopic Mucosal Resection

Yoh Isobe, Kiyoshi Kubochi, Atsushi Shimada, Hiroya Takeuchi, Takashi Matsui, Takashi Ohishi, Shunji Ikeuchi, Shingo Shima, Ken-ichi Komiya, Masayuki Suzuki, Shin Tanaka

Author information

Yoh Isobe
Department of surgery, National Tokyo Medical Center
Kiyoshi Kubochi
Department of surgery, National Tokyo Medical Center
Atsushi Shimada
Department of surgery, National Tokyo Medical Center
Hiroya Takeuchi
Department of surgery, National Tokyo Medical Center
Takashi Matsui
Department of surgery, National Tokyo Medical Center
Takashi Ohishi
Department of surgery, National Tokyo Medical Center
Shunji Ikeuchi
Department of surgery, National Tokyo Medical Center
Shingo Shima
Department of surgery, National Tokyo Medical Center
Ken-ichi Komiya
Department of gastroenterology, National Tokyo Medical Center
Masayuki Suzuki
Department of gastroenterology, National Tokyo Medical Center
Shin Tanaka
Department of gastroenterology, National Tokyo Medical Center

JOURNAL FREE ACCESS

2001 Volume 58 Issue 2 Pages 60-63

DOI https://njjn-jsjc-gov-cn-s-1416.res.gxlib.org.cn:443/rwt/1416/https/MSYXTLUQPJUB/10.11641/pde.58.2_60

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Abstract

Case 1 was a 66-year-old male who had developed a type IIa cancer in the posterior wall of the remnant stomach (RS) 69 months after a distal gastrectomy for a type 2 cancer in the lower stomach. The histological type of the primary cancer was a moderately differentiated adenocarcinoma. Severe bile reflux was observed in the RS. Helicobacter Pylori (HP) was negative. Case 2 was a 33-year-old male who had developed a type IIa cancer near the suture line of the RS 8 months after a distal gastrectomy for a type IIa＋IIc cancer in the middle stomach. The histological type of the primary cancer was a well differentiated adenocarcinoma. He had a synchronous colon cancer. HP was positive. Case 3 was a 51-year-old male who had developed a type IIc cancer in the anterior wall of the RS 25 months after a laparoscopic partial gastrectomy for a type IIc cancer in the middle stomach. The histological type of the primary cancer was a well differentiated adenocarcinoma. HP was positive. The RS cancers were detected by the postoperative endoscopic examination that had been carried out once a year in case 1 and twice a year in case 3. All of the lesions in 3 cases could be treated by EMR. No recurrent lesions have been observed for 18, 14 and 10 months after EMR in cases 1, 2 and 3 respectively.
To treat the RS cancer successfully by EMR, postoperative intensive surveillance for the high-risk patients might be necessary.

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