A Case Report of Adenocarcinoma in Barrett-like Esophagus after Total Resection of the Gastric Remnant

A case of adenocarcinoma in Barrett-like esophagus after total resection of the gastric remnant is reported. A 52-year-old man underwent distal gastrectomy for gastric cancer at 33 years of age and total resection of the gastric remnant for cancer of the remnant at 35 age. Because of reflux esophagi...

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Published inNippon Shokaki Geka Gakkai zasshi Vol. 24; no. 10; pp. 2565 - 2569
Main Authors Konishi, Masaru, Tachimori, Yuji, Itabashi, Masayuki, Yamaguchi, Hajime, Hirota, Teruyuki, Ishikawa, Tsutomu, Kato, Hoichi, Watanabe, Hiroshi
Format Journal Article
LanguageJapanese
Published The Japanese Society of Gastroenterological Surgery 1991
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ISSN0386-9768
1348-9372
1348-9372
DOI10.5833/jjgs.24.2565

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Abstract A case of adenocarcinoma in Barrett-like esophagus after total resection of the gastric remnant is reported. A 52-year-old man underwent distal gastrectomy for gastric cancer at 33 years of age and total resection of the gastric remnant for cancer of the remnant at 35 age. Because of reflux esophagitis, endoscopy revealed Barrett-like esophagus in April 1983, when he was 45. Furthermore, superficial type esophageal carcinoma was detected in Barrett-like esophagus in December 1989. A subtotal esophagectomy was performed on January 19, 1990. A 7.4×3.2 cm lesion in the lower esophagus showed plateau elevation. The histological type was well differentiated adenocarcinoma and the invasion was limited to the muscularis mucosae. There were no metastases in the 44 dissected lymph nodes. Its mucin and clinicopathological features were similar to well-differentiated adenocarcinoma in the stomach.
AbstractList A case of adenocarcinoma in Barrett-like esophagus after total resection of the gastric remnant is reported. A 52-year-old man underwent distal gastrectomy for gastric cancer at 33 years of age and total resection of the gastric remnant for cancer of the remnant at 35 age. Because of reflux esophagitis, endoscopy revealed Barrett-like esophagus in April 1983, when he was 45. Furthermore, superficial type esophageal carcinoma was detected in Barrett-like esophagus in December 1989. A subtotal esophagectomy was performed on January 19, 1990. A 7.4×3.2 cm lesion in the lower esophagus showed plateau elevation. The histological type was well differentiated adenocarcinoma and the invasion was limited to the muscularis mucosae. There were no metastases in the 44 dissected lymph nodes. Its mucin and clinicopathological features were similar to well-differentiated adenocarcinoma in the stomach.
Author Konishi, Masaru
Yamaguchi, Hajime
Ishikawa, Tsutomu
Kato, Hoichi
Tachimori, Yuji
Itabashi, Masayuki
Hirota, Teruyuki
Watanabe, Hiroshi
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References 5) Paull A, Teier JS, Dalton MD et al: The histologic spectrum of Baarett's esophagus. N Engl J Med 295: 476-480, 1976
15) Haggitt RC, Reid BJ, Rabinovitch PS et al: Barrett's esophagus: Correltion between mucin histochemistry, flow cytometry, and histologic diagnosis for predicting increased cancer risk. Am J Pathol 131: 53-61, 1988
10) 橋本創, 中尾量保, 宮田正彦ほか: 胃全摘術後に発生したBarrett様食道の臨床的検討. 日消外会誌21: 6-10, 1988
8) Barrett NR: The lower esophagus lined by colummnar epithelium. Surgery 41: 881-894, 1957
7) Barrett NR: Chronic peptic ulcer of the oesophagus and oesophagitis. Br J Surg 38: 175-182, 1950
12) Hameeteman W, Tytgat GNJ, Houthoff HJ et al: Barrett's esophagus: Development of dysplasia and adenocarcinoma. Gastroenterology 96: 1249-1256, 1989
14) Jass JR: Mucin histochemistry of the columnar epithelium of the oesophagus: a retrospective study. J Clin Pathol 34: 866-870, 1981
3) 食道疾患研究会編: 臨床・病理.食道癌取扱い規約. 第6版, 金原出版, 東京, 1984
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1) John BAE: Developmental changes in the oesophageal epithelium in man. J Anat 86: 431-442, 1952
4) 板橋正幸, 広田映五: 肉眼分類の解説 (1) 表在型食道癌. 胃と腸24: 471-475, 1989
2) Bremner CG, Lynch VP, Ellis FH: Barrett's esophagus: Congenital or acquired? An experimental study of esophageal regeneration in the dog. Surgery 68: 209-216, 1970
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9) Sjogren RW, Johnson LF: Barrett's esophagus: a review. Am J Med 74: 313-320, 1983
11) Harle IA, Finley RJ, Belsheim M et al: Management of adenocarcinoma in a colummnarlined esophagus. Ann Thorac Surg 40: 330-336, 1985
References_xml – reference: 15) Haggitt RC, Reid BJ, Rabinovitch PS et al: Barrett's esophagus: Correltion between mucin histochemistry, flow cytometry, and histologic diagnosis for predicting increased cancer risk. Am J Pathol 131: 53-61, 1988
– reference: 2) Bremner CG, Lynch VP, Ellis FH: Barrett's esophagus: Congenital or acquired? An experimental study of esophageal regeneration in the dog. Surgery 68: 209-216, 1970
– reference: 11) Harle IA, Finley RJ, Belsheim M et al: Management of adenocarcinoma in a colummnarlined esophagus. Ann Thorac Surg 40: 330-336, 1985
– reference: 9) Sjogren RW, Johnson LF: Barrett's esophagus: a review. Am J Med 74: 313-320, 1983
– reference: 8) Barrett NR: The lower esophagus lined by colummnar epithelium. Surgery 41: 881-894, 1957
– reference: 3) 食道疾患研究会編: 臨床・病理.食道癌取扱い規約. 第6版, 金原出版, 東京, 1984
– reference: 4) 板橋正幸, 広田映五: 肉眼分類の解説 (1) 表在型食道癌. 胃と腸24: 471-475, 1989
– reference: 5) Paull A, Teier JS, Dalton MD et al: The histologic spectrum of Baarett's esophagus. N Engl J Med 295: 476-480, 1976
– reference: 10) 橋本創, 中尾量保, 宮田正彦ほか: 胃全摘術後に発生したBarrett様食道の臨床的検討. 日消外会誌21: 6-10, 1988
– reference: 16) 青木克憲, 金子栄蔵, 喜納勇ほか: Barrett食道腺癌の2例. 胃と腸25: 453-459, 1990
– reference: 1) John BAE: Developmental changes in the oesophageal epithelium in man. J Anat 86: 431-442, 1952
– reference: 14) Jass JR: Mucin histochemistry of the columnar epithelium of the oesophagus: a retrospective study. J Clin Pathol 34: 866-870, 1981
– reference: 7) Barrett NR: Chronic peptic ulcer of the oesophagus and oesophagitis. Br J Surg 38: 175-182, 1950
– reference: 12) Hameeteman W, Tytgat GNJ, Houthoff HJ et al: Barrett's esophagus: Development of dysplasia and adenocarcinoma. Gastroenterology 96: 1249-1256, 1989
– reference: 13) Saubier EC, Gouillat C, Samaniego C et al: Adenocarcinoma in columnar-lined Barrett's esophagus: analysis of 13 esophagectomies. Am J Surg 150: 365-369, 1985
– reference: 6) Teglbjarg PS, Nielsen HO: Small intestinal type and colonic type intestinal metaplasia of the human stomac. Acta Pathol Microbiol Immunol Scand 86: 351-355, 1978
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SubjectTerms adenocarcinoma of the esophagus
Barrett's esophagus
total resection of the gastric remnant
Title A Case Report of Adenocarcinoma in Barrett-like Esophagus after Total Resection of the Gastric Remnant
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