Gastric stump carcinoma – Epidemiology and current concepts in pathogenesis and treatment

Sinning, Christoph; Schaefer, Nico; Standop, Jens; Hirner, A.; Wolff, Martin

doi:10.1016/j.ejso.2006.09.006

Cited by 124 publications

(104 citation statements)

References 34 publications

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“…Also considered high-risk patients for development of gastric cancer are those undergoing gastric resections for benign diseases (peptic ulcer, for example) and patients carrying other gastric neoplasias such as adenoma and MALT lymphoma. Besides bacteria eradication, endoscopic monitoring at regular intervals in this population is recommended (17,180,190,195) .…”

Section: Statement 19mentioning

confidence: 99%

3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

Coelho

Maguinilk

Zaterka³

et al. 2013

Arq. Gastroenterol.

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Significant progress has been obtained since the Second Brazilian Consensus Conference on Helicobacter pylori Infection held in 2004, in São Paulo, SP, Brazil, and justify a third meeting to establish updated guidelines on the current management of H. pylori infection. The Third Brazilian Consensus Conference on H pylori Infection was organized by the Brazilian Nucleus for the Study of Helicobacter, a Department of the Brazilian Federation of Gastroenterology and took place on April 12-15, 2011, in Bento Gonçalves, RS, Brazil. Thirty-one delegates coming from the five Brazilian regions and one international guest, including gastroenterologists, pathologists, epidemiologists, and pediatricians undertook the meeting. The participants were allocated in one of the five main topics of the meeting: H pylori, functional dyspepsia and diagnosis; H pylori and gastric cancer; H pylori and other associated disorders; H pylori treatment and retreatment; and, epidemiology of H pylori infection in Brazil. The results of each subgroup were submitted to a final consensus voting to all participants. Relevant data were presented, and the quality of evidence, strength of recommendation, and level of consensus were graded. Seventy per cent and more votes were considered as acceptance for the final statement. This article presents the main recommendations and conclusions to guide Brazilian doctors involved in the management of H pylori infection.

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Section: Statement 19mentioning

confidence: 99%

3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

Coelho

Maguinilk

Zaterka³

et al. 2013

Arq. Gastroenterol.

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“…Patients who have undergone a partial gastrectomy for any reason are considered at increased risk of malignant formation in the remnant gastric tissue, termed a remnant gastric cancer [1][2][3]. As a result of recently increased health screening in Korea and Japan, more than 50 % of newly diagnosed cases of gastric cancer are in an early stage [4,5].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for complications during surgical treatment of remnant gastric cancer

et al. 2014

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Background Surgical treatment for remnant gastric cancer is related to high mortality and morbidity. The aim of this study was to identify risk factors that predispose to postoperative complications after gastrectomy for remnant gastric cancer. Methods A total of 210 patients who underwent a gastrectomy for remnant gastric cancer between January 1998 and December 2012 were retrospectively analyzed. Surgical complications were reviewed and graded using the Clavien-Dindo classification. Univariate and multivariate analysis was performed to identify the risk factors for development of complications. Results The incidence of postoperative complications was 46 % (96/210), and major complications occurred in 14 % (30/210). The operation-related mortality rate was 1.0 %. Multivariate analysis revealed that only a BMI C25 (P = 0.001) and blood transfusion (P \ 0.001) were significant independent risk factors for major complication. Indication for the initial gastrectomy and previous anastomosis type were not related to the development of surgical complications. Conclusions Although surgery for remnant gastric cancer is a complex procedure because of the previous operation, factors related to the previous operation do not affect the development of postoperative complications.

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“…The incidence of remnant gastric cancer is increasing due to the use of subtotal gastrectomy to treat peptic ulcer disease in the past and because of increased survival rates after radical gastrectomy for gastric cancer [1]. Remnant gastric cancer is defined as gastric cancer in the remnant stomach after partial gastrectomy for benign disease or gastric cancer [2].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic completion total gastrectomy for remnant gastric cancer: a single-institution experience

et al. 2014

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Background The aim of the present study was to evaluate the feasibility of laparoscopic completion total gastrectomy (LCTG) in patients with remnant gastric cancer. Methods Patients who underwent completion total gastrectomy for remnant gastric cancer between May 2003 and December 2012 were divided into two groups: an open completion total gastrectomy (OCTG) group and an LCTG group. Clinicopathological data, operative data, and patient survival rates were analyzed. Results Thirty-four remnant gastrectomies (17 OCTG and 17 LCTG) were performed. The mean time interval between the prior gastrectomy and the remnant gastrectomy was 17.2 years, and benign disease showed a longer time interval than malignancy (30.9 vs. 8.1 years; p \ 0.0001). LCTG required a longer operation time than OCTG (234.4 vs. 170.0 min; p = 0.002); however, there were no significant differences in the estimated blood loss, the number of retrieved lymph nodes, the time to first flatus passage, the length of hospital stay, complication rates, and postoperative analgesia between the two groups. Eight patients (47.1 %) required conversion to open surgery during LCTG. The median overall survival was 69.1 months. There was no difference in 5-year survival between the two groups (p = 0.085). Conclusion LCTG was technically feasible; however, it showed no definitive clinical advantage over OCTG.

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Gastric stump carcinoma – Epidemiology and current concepts in pathogenesis and treatment

Cited by 124 publications

References 34 publications

3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

Risk factors for complications during surgical treatment of remnant gastric cancer

Laparoscopic completion total gastrectomy for remnant gastric cancer: a single-institution experience

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