Suture line recurrence in jejunal pouch replaced after total gastrectomy for gastric cancer |
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| Authors: | Kazuya Miyoshi Sadanori Fuchimoto Toshihide Ohsaki Tatsuhiko Sakata Isao Takeda Kenji Takahashi Takaomi Ohkawa Kimiaki Tanaka Tomoko Matsumoto Norihisa Takakura Makoto Motoi |
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| Affiliation: | (1) Department of Surgery, Fukuyama National Hospital, 4-14-17 Okinogamicho, Fukuyama 720-0825, Japan, JP;(2) First Department of Surgery, Okayama University Medical School, 2-5-1, Shikatacho, Okayama 700-8558, Japan, JP;(3) Department of Pathology, Medical Checkup Center of Fukuyama Medical Association, 2-11-25 Miyoshichominami, Fukuyama 720-0032, Japan, JP |
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| Abstract: | We report a case of suture line recurrence in a jejunal pouch, diagnosed 4 months after total gastrectomy for advanced gastric cancer. The jejunal pouch was made with a linear stapler, without intraluminal irrigation being carried out before anastomosis, and was replaced in an interposition fashion. We propose that the recurrence was caused by the implantation of exfoliated cancer cells in either the intraluminal mucus or on a contaminated stapling device. Received for publication on April 19, 1999; accepted on Sept. 7, 1999 |
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| Keywords: | : suture line recurrence linear stapler jejunal pouch gastric cancer |
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