Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 2 (1), 51-3

Development of Barrett's Esophagus Soon After Total Gastrectomy

Affiliations

Development of Barrett's Esophagus Soon After Total Gastrectomy

Dong Hyun Sinn et al. Gut Liver.

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.

Keywords: Barrett's esophagus; Gastrectomy.

Figures

Fig. 1
Fig. 1
Endoscopic findings before total gastrectomy. (A) Forward view of the huge erythematous, irregularly shaped, ulceroinfiltrating mass involving the lesser curvature side of the body and antrum. (B) Retroflexed endoscopic view of the gastric cardia shows that the mass is located 3 cm distal to the esophagogastric junction. (C) The distal esophagus appeares endoscopically normal, without evidence of hiatal hernia, tongues, or segments of Barrett's esophagus.
Fig. 2
Fig. 2
Gastroesophageal junction in the resected specimen is both grossly and microscopically normal (H&E stain, ×100).
Fig. 3
Fig. 3
Endoscopic examination after total gastrectomy reveales tongue-like projection of red-colored columnar tissue extending 3 cm above the anastomosis.
Fig. 4
Fig. 4
Endoscopic biopsies of the distal esophagus reveales intestinal-type metaplasia (H&E stain, ×400).

Similar articles

See all similar articles

Cited by 2 articles

LinkOut - more resources

Feedback