選択的近位迷走神経切離術施行後18年目に発生した胃癌の1例

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  • A CASE OF GASTRIC DEVELOPED 18 YEARS AFTER SELECTIVE PROXYMAL VAGOTOMY WITH PYLOROPLASTY

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A 62-year-old man, who had undergone selective proxymal vagotomy with pyloroplasty and cholecystectomy for duodenal ulcer and cholecystolithiasis 18 years before at the hospital, was admitted to the hospital, because he was pointed out an abnormal finding of the stomach in a barium meal study for screening. Gastroscopy revealed a IIc+III like advanced type gastric cancer in the antrum and a distal gastrectomy was performed. The tumor was located in the antrum invading the bulbus duodeni, and histopathologically it was signet-ring cell carcinoma, depth as, infγ, ly(-), v(-), n1(+).<br> It is said that the incidence of gastric cancer increases after vagotomy. With an increase in vagotomy cases under observation for a long time, gastric cancers after vagotomy have been increasingly reported these days, but there are only 22 cases including ours in Japan so far. In this paper we present a case of gastric cancer after selective proxymal vagotomy and pyloroplasty with a review of the literature.

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