Gastric carcinoma following gastro-enterostomy and partial gastrectomy

Jode, L. R. De

doi:10.1002/bjs.18004821108

Cited by 34 publications

(11 citation statements)

References 2 publications

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“…These figures are in keeping with other reports [5][6][7][8] that, approximately 15 years after resection, there is an increased risk of mucosal malignancy with each subse quent year. Intuitively, this suggests a continuous carci nogenic influence.…”

Section: Discussionsupporting

confidence: 81%

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: Discussionsupporting

confidence: 81%

Carcinoma of Gastric Remnant: A Neglected Postgastrectomy Syndrome?

Heerden

Heath

1989

Dig Surg

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“…However, gastric stump cancer (GSC) is usually diagnosed at an advanced stage, and its prognosis is unfavourable compared with that of primary cancer 1. Only a few authors have reported five year survival rates of GSC, which are usually less than 10% 2…”

mentioning

confidence: 99%

Early gastric stump cancer following distal gastrectomy

Kaneko

Kondo²,

Saito

et al. 1998

Gut

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Background-Gastric stump cancer (GSC) is usually diagnosed at an advanced stage, and consequently the prognosis is poor. Aims-To investigate the clinicopathological characteristics of GSC at an early stage to assist in its identification, and thereby improve its prognosis. Methods-Forty three patients with resected early GSC were compared with 156 patients with resected primary early cancer in the upper third of the stomach. Results-Sixty five per cent (28/43) of the early GSC patients showed the elevated type endoscopically, although the frequency of the depressed type in GSC has tended to increase in the past five years. This occurred in less than 26% (40/156) of the primary early cancers. Half of the early GSCs were located on the lesser curvature (47%), and revealed diVerentiated adenocarcinoma (81%) histologically. The male:female ratio of early GSC cases was about 6:1, which was much higher than that in patients with primary early cancer. The five year survival rates of patients with early GSCs and early primary cancers were 84% and 95%, respectively. GSC had a favourable prognosis, if it was detected at an early stage. Conclusion-To detect early GSC, our results suggest that special attention should be given to elevated as well as depressed lesions on the lesser curvature of the stomach, particularly in men, during endoscopic examinations. (Gut 1998;43:342-344)

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“…Information regarding the presence or absence of a history of gastric surgery was drawn from recorded histories18,20,21, 23"26,27 or findings at autopsy,16,26 endoscopy,16 or surgical explora¬ tion. 16,26 Consequently, the prevalence of a history of gastric surgery may have been underestimated because of inade¬ quate records or overestimated because patients with gastric cancer may have had a greater incentive to recall gastric surgery.…”

Section: Case Series and Uncontrolled Retrospective Surveysmentioning

confidence: 99%