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Case Report
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| Adenocarcinoma at previous gastrojejunostomy site | ||||||
| Saroj Kant Sahoo1, Manash Ranjan Sahoo2, Ved Bhaskar3 | ||||||
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1Professor, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
2Associate Professor, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India. 3Post Graguate, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India. | ||||||
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| How to cite this article: |
| Sahoo SK, Sahoo MR, Bhaskar V. Adenocarcinoma at previous gastrojejunostomy site. International Journal of Case Reports and Images 2013;4(2):127–130. |
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Abstract
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Introduction:
There has been a growing interest in the development of gastric cancer following gastric surgery for benign disease. However, the risk is only observed after a latency of about 15 years and is increased in patients operated for gastric but not duodenal ulcers. The incidence of malignancy ranges from 2–6% in gastric remnants and a variety of causative factors have been proposed such as alkaline duodenal gastric reflux and increased N-nitroso compounds secondary to bacterial overgrowth.
Case Report: We report an unusual case of a 75-year-old female who presented with recurrent vomiting. She had a gastrojejunostomy without gastric resection 25 years back. On investigation a gastric cancer was found at the anastomotic site in the efferent loop. Conclusion: Patients who have undergone surgery for ulcers should be screened using endoscopy at least once a year to detect the cancer in early stages as symptoms of cancer appear quite late and mortality is very high in advanced cases of stomach carcinoma. A complete margin negative (Ro) resection offers chances of cure in these patients. | |
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Keywords:
Gastrojejunostomy, Peptic ulcer, Gastric adenocarcinoma, Stump carcinoma
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Author Contributions
Saroj Kant Sahoo – Conception and design, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Manash Ranjan Sahoo – Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Ved Bhaskar – Acquisition of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Saroj Kant Sahoo et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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