Das Carcinom im Restmagen nach Resektion wegen gutartiger Befunde

Stump cancer following gastric surgery

“…Nicholls has admirably summarized the world literature on carcinoma of the gastric stump. Extrapolating from the review of Peters et al [1] and our own literature review [2], I would estimate that the total number of cases reported to date numbers well over 2,000. Despite this large number of reported cases, valid statistical conclusions regarding in-cidence, etiology, and even pathology are hard to come by.…”

“…Other authors have reached conclusions from their studies, but few are supported by statistical data. Peters et al [2] evaluated the possible etiologic and pathologic factors, especially the role of chronic atrophic gastritis, and concluded that the presence of preoperative gastritis may be important in the subsequent development of stump cancer. Debray et al [13] concluded that the type of gastrectomy does not appear to influence the frequency of stump cancer, a conclusion supported by the St. James' data.…”

“…It is important to ascertain whether gastric stump carcinoma appears with greater frequency than anticipated and, if so, whether its occurrence is related to any particular type of operation. Although Peters [2] collected 1,410 cases re-ported in the world literature between 1930 and 1970, he was still unable to reach definite conclusions.…”

Invited commentary

“…Postoperative follow-up studies on groups of patients have to be reasonably complete, or at least the degree of incompleteness must be known and accounted for, in order to make meaningful comparisons between the number of carcinomas observed and that expected from population-based cancer registration data, which has also not been the case in several reports. The material published previously by Nicholls [1] seems to have serious shortcomings on this point. The expected frequency of 1 case of stomach cancer per 1,033 patients is, in fact, the incidence expected to occur annually at the given age, and it is confusing when this figure is compared to the total incidence of 1 case of cancer per 183 patients operated on during the whole observation period and taken to indicate an increased rate of cancer among patients subjected to operation.…”

Zur Pathogenese und Klinik des Magenstumpfcareinoms

“…Lebensjahres steigt der Anteil der atrophischen Gastritis im nicht operierten Magen auf fiber 50 % an [18]. Lebensjahres steigt der Anteil der atrophischen Gastritis im nicht operierten Magen auf fiber 50 % an [18].…”