A Case Report of Laparoscopy-Assisted Distal Gastrectomy for Early Gastric Cancer with Abortive Behçet Disease

• Published in: Gan to kagaku ryoho Vol. 45; no. 10; p. 1536
• Main Authors: Ono, Yukari, Aoyama, Toru, Maezawa, Yukio, Sato, Tsutomu, Hara, Kentaro, Asari, Masahiro, Morita, Junya, Amano, Shinya, Sawazaki, Sho, Numata, Masakatsu, Ohshima, Takashi, Yukawa, Norio, Masuda, Munetaka, Rino, Yasushi
• Format: Journal Article
• Language: Japanese
• Published: Japan 01.10.2018
• ISSN: 0385-0684

A 32-year-old woman with a history of undergoing upper gastrointestinal surgery was administered prednisolone for abortive Behçet's disease since 2015. In March 2017, upper gastrointestinal endoscopy revealed a 0-IIc type early stage gastric carcinoma at the posterior wall of the gastric antrum. The pathological diagnosis was signet-ring cell carcinoma. This gastric carcinoma was classified as cT1aN0M0; therefore, endoscopic submucosal dissection(ESD)was performed for the expanded indication lesion in April 2017. The pathological diagnosis after ESD indicated the need for non-curative resection; thus, laparoscopy-assisted distal gastrectomy and Billroth I anastomosis were performed in July 2017. A transient anastomotic structure was admitted after this surgery, but she was discharged from the hospital lighthearted. A preoperative important aspect was the careful examination of all intestinal tracts for ulcer lesions, and an intraoperative important aspect was hand-sewn anastomosis because using a metallic stapler conferred a high risk of ulcer lesions and suture failure. We encountered a case wherein laparoscopy-assisted distal gastrectomy was performed in a patient with abortive Behçet's disease, early stage gastric carcinoma, and a history of undergoing upper gastrointestinal surgery.