c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Feeding Jejunostomy (Unresectable Gastric Cancer): 1

A D V E R T I S E M E N T

   
 

A 76-year-old man presented with a two month history of emesis after meals, anemia, and a 25-pound weight loss over the past year. He had had vagotomy, antrectomy and Billroth II gastrojejunostomy for bleeding ulcer 34 years previously. Endoscopy revealed a nearly circumferential exophytic lesion at the gastrojejunostomy. Biopsy showed adenocarcinoma.      

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Feeding Jejunostomy (Unresectable Gastric Cancer): 2

A D V E R T I S E M E N T

   
 

CT scan showed the gastric lesion, and no obvious nodal or metastatic disease.       

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Feeding Jejunostomy (Unresectable Gastric Cancer): 3

A D V E R T I S E M E N T

   
 

The patient was taken to the operating room for attempted resection. Adhesions were divided to expose the gastrojejunostomy.       

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This page was last modified on 2/12/2002.