Gastric Cancer

, Volume 11, Issue 1, pp 59–63 | Cite as

Suture-line recurrence at a jejunojejunal anastomosis after gastrectomy for gastric cancer

  • Alexandros Polychronidis
  • Prodromos Laftsidis
  • Alexandra Giatromanolaki
  • Sebachedin Perente
  • Anastasios Bounovas
  • Constantinos Simopoulos
Case Report


Local recurrence at a gastrojejunal anastomosis is common in patients after gastrectomy for gastric carcinoma, but recurrence at a jejunojejunal anastomosis without recurrence at a gastrojejunal anastomosis is extremely rare. We report a case of suture-line recurrence at a jejunojejunal anastomosis without recurrence at the gastrojejunal anastomosis or in the remnant stomach in a patient 23 months after receiving a Billroth II gastrectomy for gastric cancer. We attributed the implantation of cancer cells at the jejunojejunal anastomosis to contamination of the stapler with cancer cells exfoliated in the gastric mucus during the construction of the gastrojejunal anastomosis. We therefore consider that different surgical instruments, such as automatic anastomotic devices and automatic suturing devices, must be used in each phase of the surgical procedure for gastric cancer.

Key words

Gastric cancer recurrence Suture-line recurrence Jejunojejunal anastomosis recurrence 


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Copyright information

© The International Gastric Cancer Association and The Japanese Gastric Cancer Association 2008

Authors and Affiliations

  • Alexandros Polychronidis
    • 1
  • Prodromos Laftsidis
    • 1
  • Alexandra Giatromanolaki
    • 1
  • Sebachedin Perente
    • 1
  • Anastasios Bounovas
    • 1
  • Constantinos Simopoulos
    • 1
  1. 1.Second Department of SurgeryDemocritus University of ThraceDragana, AlexandroupolisGreece

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