+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Duodenal stump cancer after Billroth-II distal gastrectomy for gastric cancer



Duodenal stump cancer after Billroth-II distal gastrectomy for gastric cancer



Gastric Cancer 12(2): 118-122



Duodenal cancer is an uncommon neoplasm and it mostly arises from the periampullary area. However, metachronous or even recurrent cancer at the duodenal stump following Billroth II type distal gastrec tomy for gastric cancer is extremely rare and, to our knowledge, has not yet been reported. A 68-year-old man underwent Billroth II distal gastrectomy with D2 lymph node dissection for an advanced gastric cancer. At that time the tumor stage was T2bN3M0, with 44 of 78 retrieved lymph nodes showing metastasis. He was well without recurrence for 3 years; however, he visited our hospital because of the abrupt onset of dizziness and tarry stool. A polypoid tumor that bled easily when touched was found at the end of the afferent loop of the duodenal stump by gastrofiberscopic examination, and it was proven to be an adenocarcinoma by endoscopic biopsy. Fortunately, additional studies, including abdominal computed tomography and positron emission tomography-computed tomography, showed no other sites of recurrence. The patient underwent pancreaticoduodenectomy for local control of the recurrent tumor at the duodenal stump, and the pathologic findings, based on immunohistochemical staining, strongly suggested that the duodenal tumor was metachronous in nature rather than recurrent.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052729615

Download citation: RISBibTeXText

PMID: 19562467

DOI: 10.1007/s10120-009-0511-1


Related references

Endoscopic clipping of duodenal stump leakage after Billroth II gastrectomy in gastric cancer patient. Journal of Surgical Oncology 100(1): 80-81, 2009

Gastric cancer surgery: Billroth I or Billroth II for distal gastrectomy?. Bmc Cancer 9(): 428-428, 2010

Staple-Line Reinforcement of the Duodenal Stump With Intracorporeal Lembert's Sutures in Laparoscopic Distal Gastrectomy With Roux-en-Y Reconstruction for Gastric Cancer. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 26(4): 338-342, 2016

Cancer of the gastric stump after partial gastrectomy (Billroth II principle) for ulcer. Cancer 29(5): 1150-1159, 1972

Clinical outcome of pylorus-preserving gastrectomy in gastric cancer in comparison with conventional distal gastrectomy with Billroth I anastomosis. World Journal of Surgery 32(6): 1029-1036, 2008

Laparoscopic Billroth II distal subtotal gastrectomy with gastric stump suspension for gastric malignancies. American Journal of Surgery 171(2): 289-292, 1996

Gastric Adenocarcinoma in the Duodenal Stump 40 Years After a Billroth II Partial Gastrectomy for Benign Indications. Gastrointestinal Cancer Research 5(4): 141-143, 2012

Cancer of the gastric stump following distal gastrectomy for cancer. British Journal of Surgery 94(1): 92-95, 2006

Reconstruction After Distal Gastrectomy for Gastric Cancer: Billroth 2 or Roux-En-Y Procedure?. Anticancer Research 37(10): 5595-5602, 2017

Cancer Of The Gastric Stump After Gastrectomy For Duodenal Ulcer. Anais Paulistas de Medicina E Cirurgia 85: 136-138, 1963

Laparoscopy-assisted D2 radical distal gastrectomy for gastric cancer (Billroth II anastomosis). Chinese Journal of Cancer Research 25(4): 451-452, 2013

Early gastric stump cancer following distal gastrectomy. Gastroenterology 108(4 SUPPL ): A487, 1995

Early gastric stump cancer following distal gastrectomy. Gut 43(3): 342-344, 1998

Cancer of gastric stump after partial gastrectomy performed for gastric or duodenal ulcer. Polski Przeglad Chirurgiczny 41(1): 28-33, 1969

Comparison of laparoscopy-assisted and totally laparoscopic Billroth-II distal gastrectomy for gastric cancer. Journal of the Korean Surgical Society 82(3): 135-142, 2012