[A Case of Advanced Gastric Cancer with Good Postoperative Course after Improvement of Malnutrition by Neoadjuvant...

A 75-year-old female patient presented to our hospital with a chief complaint of anemia and leg edema caused by poor nutritional status because of difficulties in oral intake. Computed tomography imaging revealed no evidence of distant metastasis, and the tumor was considered to be curatively resectable. However, as the patient was malnourished owing to difficulty in oral intake caused by gastrointestinal stenosis, we used neoadjuvant chemotherapy to avoid the risk of perioperative complications. Six courses of S-1+cisplatin were administered. After initiating chemotherapy, the gastrointestinal obstruction of the patient improved rapidly. She was able to take oral feedings, and her nutrition status improved. Thereafter, distal gastrectomy(Roux-en-Y reconstruction)was performed. The patient had a good prognosis with no perioperative complications and was discharged on postoperative day 20.