Endoscopy in the Evaluation of Patients Following Gastrectomy

Spainhour, Jack B.

doi:10.1001/archinte.1974.00320190054008

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…The frequency of such postoperative change is considerable. Spainhour and Webster [11] found that, in patients who had endos copy prophylactically 10 years after gastric surgery, one quarter of Billroth-I patients and three quarters of Billroth-II patients had significant bile reflux, even in the complete absence of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Carcinoma of Gastric Remnant: A Neglected Postgastrectomy Syndrome?

Heerden

Heath

1989

Dig Surg

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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.

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Section: Discussionmentioning

confidence: 99%

Carcinoma of Gastric Remnant: A Neglected Postgastrectomy Syndrome?

Heerden

Heath

1989

Dig Surg

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Jejunogastric Intussusception

Czerniak

Bass²,

Bat³

et al. 1987

Arch Surg

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Gastric remnant carcinoma

Klarfeld

Resnick

1979

Cancer

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One hundred cases of gastric carcinoma at The New York Hospital-Cornell Medical Center included 7 cases of gastric remnant carcinomas, which were analyzed and compared with prior reports in the literature. Gastric remnant carcinoma is a distinct entity, noted in greatest incidence beginning approximately 15 years after surgery for benign gastric disease. Although the etiology is unknown, the high incidence of bile reflux and concomitant existence of histologic change may account for a premalignant environment in which the stomach assumes some absorptive function. Such new activity may result in the influx of potentially carcinogenic compounds and subsequent tumor development. Early diagnosis of remnant carcinoma following gastric surgery is important to improved prognosis, and endoscopic followup is recommended for all such patients beginning 10-15 years postoperatively.

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Endoscopy in the Evaluation of Patients Following Gastrectomy

Cited by 5 publications

References 6 publications

Carcinoma of Gastric Remnant: A Neglected Postgastrectomy Syndrome?

Carcinoma of Gastric Remnant: A Neglected Postgastrectomy Syndrome?

Jejunogastric Intussusception

Gastric remnant carcinoma

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