[Anastomotic recurrence with tumor stenosis after Billroth II gastrectomy for adenocarcinoma: implantation of 2 metal stents as palliative therapy]

Leber Magen Darm. 1995 Jul;25(4):176-9.
[Article in German]

Abstract

We report on a 70 year old patient with a great relapse in the region of the anastomosis after a palliative, subtotal gastrectomy with Billroth-II-gastrojejunostomie because of an adenocarcinoma one year before. He was unable to swallow fluids or solid food. The possibility of a sufficient gastroenteroanastomosis was certainly limited (great tumor-mass left during operation). So we implantated two metal stents in the afferent and the efferent limb, respectively. The patient's vomiting completely relieved and he was able to swallow fluid food again. After that treatment the patient's quality of live noticeably increased. Furthermore, by stenting the afferent limb a sufficient drainage out of the duodenum could be reached, thereby preventing an increasing cholestasis.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adenocarcinoma, Mucinous / diagnosis
  • Adenocarcinoma, Mucinous / therapy*
  • Aged
  • Combined Modality Therapy
  • Gastrectomy*
  • Gastroenterostomy*
  • Humans
  • Male
  • Neoplasm Recurrence, Local / diagnosis
  • Neoplasm Recurrence, Local / therapy*
  • Neoplasm, Residual / diagnosis
  • Neoplasm, Residual / therapy
  • Palliative Care
  • Postoperative Complications / diagnosis
  • Postoperative Complications / therapy*
  • Pyloric Stenosis / diagnosis
  • Pyloric Stenosis / therapy*
  • Quality of Life
  • Stents*
  • Stomach Neoplasms / diagnosis
  • Stomach Neoplasms / therapy*