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首页> 外文期刊>Journal of Surgical Case Reports >Adenocarcinoma in long-segment Barrett's esophagus 44 years after total gastrectomy
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Adenocarcinoma in long-segment Barrett's esophagus 44 years after total gastrectomy

机译：全胃切除术后44年长段巴雷特食管中的腺癌

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Although Barrett's esophagus may occur without gastric acid, Barrett's adenocarcinoma after total gastrectomy is rare. Here, we present Barrett's adenocarcinoma in long-segment Barrett's esophagus after total gastrectomy. The patient was a 74-year-old male who underwent total gastrectomy 44 years ago. An endoscopic examination revealed long-segment Barrett's esophagus starting 17 cm from the incisors and continuing 20 cm to esophagojejunostomy, with irregular mucosa 27–31 cm from the incisors. Pathological diagnosis of a biopsied specimen was adenocarcinoma. We performed subtotal esophagectomy with lymph node dissection in the prone position and reconstructed the esophagus with ileocolic interposition. Postoperative pathological diagnosis from a Barrett's epithelial section was well differentiated adenocarcinoma. This case had the longest interval from total gastrectomy and smallest oral margin of Barrett's epithelium. Our case suggested that careful surveillance is needed for patients exhibiting recurrent bile reflux following total gastrectomy.
机译：尽管巴雷特食管可能没有胃酸发生，但全胃切除术后的巴雷特腺癌很少见。在这里，我们介绍了全胃切除术后长段Barrett食管中的Barrett腺癌。该患者是一名74岁的男性，在44年前接受了全胃切除术。内窥镜检查发现长段的Barrett食管从切牙开始17厘米，到食管空肠吻合处持续20厘米，不规则的粘膜距切牙27-31厘米。活检标本的病理诊断为腺癌。我们采用俯卧位淋巴结清扫术进行食管全切术，并通过回肠穿刺术重建食管。 Barrett上皮切片的术后病理诊断为高分化腺癌。该病例距全胃切除的间隔时间最长，而巴雷特上皮的口腔切缘最小。我们的病例表明，对于全胃切除术后复发性胆汁反流的患者，需要进行仔细的监测。

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