Gastric stump adenocarcinoma develops more than 20 years after partial gastrectomy for peptic ulcer

This gastric cancer diagnosis at a glance

Subtype
Adenocarcinoma
Sex
Male
Treatment
surgery
Outcome
In Memory

Treatment course, step by step

  1. Underwent total gastrectomy of the gastric remnant with lymphadenectomy, splenectomy and wedge resection of the liver because of direct tumor infiltration.

What happened, in summary

A 58-year-old man presented with about 2 weeks of vomiting blood and black stools, accompanied by episodes of hemodynamic instability. More than 20 years earlier, he had undergone a Billroth II partial gastrectomy for bleeding peptic ulcer disease.

Endoscopy now showed an ulcerated, infiltrative mass in the remaining stomach, and biopsy confirmed invasive gastric adenocarcinoma. He underwent total removal of the gastric remnant with lymph-node dissection. Because the tumor directly infiltrated nearby structures, the operation also included splenectomy and a wedge resection of the left side of the liver.

He died 10 months after surgery.

Where this story comes from

This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full

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