4.5 Article

Surgical treatment of gastric stump carcinoma after Whipple procedure: A case report

期刊

MEDICINE
卷 102, 期 20, 页码 -

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000033808

关键词

case report; gastric stump carcinoma; surgical treatment; Whipple procedure

向作者/读者索取更多资源

This case report highlights the rarity of gastric stump carcinoma (GSC) after Whipple procedure and emphasizes the importance of early diagnosis and surgical treatment. The successful outcome of stump gastrectomy in this patient suggests that surgery can be an effective approach for GSC if long-term survival is possible.
Rationale:Gastric stump carcinoma (GSC) is very exceptional and little known after Whipple procedure, and its diagnosis and treatment are extremely difficult to handle. Patient concerns:The patient, a 68-year-old man, visited our hospital's General surgery outpatient clinic complaining of upper abdominal pain that had been bothering him for half a month. The endoscopy revealed lesions in the stomach residual, and the pathological results suggested adenocarcinoma. The patient underwent Whipple procedure for periampullary adenocarcinoma in the 4th year ago. Diagnoses:The final diagnosis was gastric adenocarcinoma and its pathological stage was II A (T3N0M0). Interventions:The patient underwent stump gastrectomy and end-to-side esophagojejunostomy (Roux-en-Y reconstruction). Outcomes:The operation went smoothly and the patient recovered well with only mild bloating and nausea, and the symptoms completely disappeared during the hospital stay. Lessons:The development of GSC several years after Whipple procedure is uncommon. This is the first case from China that has received international attention. Early diagnosis is crucial. Surgery is considered to be the most effective treatment for GSC after Whipple procedure if long-term survival is possible and surgical risks are controllable.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据