Successful Inokuchi Shunt Operation for Early Gastric Cancer and Concomitant Esophagogastric Varices: A Case Report

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  • Yoshinobu SATO
    The First Department of Surgery, Niigata University School of Medicine
  • Hajime OSEKI
    The Second Department of Surgery, Niigata University School of Medicine
  • Isao KUROSAKI
    The First Department of Surgery, Niigata University School of Medicine

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We encountered a case of esophagogastric varices concomitant early gastric cancer resistant to balloon retrograde transvenous obliteration, but which was successfully treated using the Inokuchi shunt : the left gastric veno-infrahepatic vena cavo anastomosis was shunted using the right superficial femoral vein. Many investigators have documented a high risk of morbidity and mortality accompanying abdominal operations in cirrhotic patients. To the best of our knowledge, this is the first reported case of a patient who successfully underwent both gastric surgery and a simultaneous selective shunt. If postoperative management is carried out carefully, selective shunt operations for esophagogastric varices together with a partial gastrectomy can be effective against early lower gastric cancer and allow the avoidance of variceal bleeding and the discomfort of endoscopic therapy.

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