Development of Barrett's Esophagus Soon after Total Gastrectomy.
- Author:
Dong Hyun SINN
1
;
Kyoung Mee KIM
;
Eun Ran KIM
;
Hee Jung SON
;
Jae J KIM
;
Jong Chul RHEE
;
Poong Lyul RHEE
Author Information
1. Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. plrhee@skku.edu
- Publication Type:Case Report
- Keywords:
Barrett's esophagus;
Gastrectomy
- MeSH:
Adenocarcinoma;
Aged;
Barrett Esophagus;
Biopsy;
Duodenogastric Reflux;
Epithelium;
Esophagogastric Junction;
Esophagus;
Follow-Up Studies;
Gastrectomy;
Humans;
Metaplasia
- From:Gut and Liver
2008;2(1):51-53
- CountryRepublic of Korea
- Language:English
-
Abstract:
The role of duodenal reflux and the time required for the development of Barrett's esophagus has remained controversial. We report a case of Barrett's esophagus that developed 6 months after total gastrectomy. A 76-year-old man diagnosed with gastric adenocarcinoma underwent a total gastrectomy and a Rouxen-Y esophagojejunostomy. The gastroesophageal junction in the resected specimen was both grossly and microscopically normal at the time of the operation. A routine follow-up endoscopic examination performed 6 months later revealed a tongue-like projection of redcolored columnar tissue. No reflux symptoms (heartburn or acid regurgitation) had been present during the intervening 6 months. A biopsy specimen from the esophagus showed intestinal-type metaplasia of the columnar epithelium. This case supports the development of Barrett's esophagus solely from duodenal reflux and after a relatively short time in this clinical setting.
