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Gastric cancer in the remnant stomach after pancreaticoduodenectomy: A case series.

Keita SonodaRashmi T SamdaniNaruhiko IkomaDilsa Mizrak KayaMariela Blum-MurphyJaffer A AjaniBrian D BadgwellMatthew H KatzAsif RashidJeannelyn S Estrella
Published in: Journal of surgical oncology (2019)
Our findings indicate that GC in the remnant stomach after PD is rare but can occur at gastrojejunostomy anastomosis after a prolonged period. Periodic and long-term follow-up +/- surveillance endoscopy to facilitate early detection of GC in the remnant stomach is recommended, particularly for symptomatic patients. Recognition of the anastomotic tumor as a second primary and not a pancreatic ductal adenocarcinoma recurrence/metastasis is crucial in the optimal treatment of these patients, as curative resection of early-stage GC may prolong survival.
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