[Complications of treatment of stomach cancer--case report]

The authors made in a young 48-year-old patient a subtotal gastric resection with atypical resection of the liver on account of a metastasis, the basic diagnosis being: gastric tumour, histologically diffuse carcinoma with mucus formation. On the 6th postoperative day the condition was complicated by sepsis and dehiscence of the oesophagoantroanastomosis. With regard to the complication with a relapse of a subphrenic abscess the patient was repeatedly checked. He was for a prolonged period (repeatedly) on artificial pulmonary ventilation on account of ARDS and lobar bronchopneumonia; complete parenteral and subsequently parenteral and enteral nutrition was administered. After stabilization of the condition (after 5 months from the first operation) the patient was discharged into domiciliary treatment with enteral nutrition which was administered by jejunostomy by means of a pump for enteral nutrition. Four months after discharge the oesophagus and stomach were replaced by the colon. The patient is at present in a good clinical condition, does not suffer from malnutrition. No signs of relapse of the disease. The importance of intensive, long-term although costly postoperative care reflected on the satisfactory health status of the patient is beyond doubt.