Carcinoma of Gastric Remnant: A Neglected Postgastrectomy Syndrome?

Abstract

Of patients with gastric carcinoma, ± 1 % of cases will occur in patients who have undergone a prior gastrectomy for benign peptic ulcer disease. The interval between the original operation and the development of gastric malignancy is at least two decades. This possibility must constantly be kept in mind in the follow-up of postgastrectomy patients. It should be included in the differential diagnosis of the so-called postgastrectomy syndromes, particularly when long-standing symptomatology undergoes a subtle change. The majority of these malignancies are advanced at the time of diagnosis, with a mean survival of less than a year.