Long survival after carcinoma of the stomach

Pygott, F.

doi:10.1136/gut.5.2.118

Cited by 6 publications

(3 citation statements)

References 10 publications

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“…It must not be forgotten that prolonged survival after the initial operation does not exclude the fact that a partial gastrectomy may have been for neoplastic ulcer of the stomach (Pygott, 1964). CONCLUSION The occurrence of gastric symptoms after a long period of relative good health in a patient who has had a partial gastrectomy or gastroenterostomy 10 or more years previously should suggest the need to exclude the development of cancer in the stomach.…”

Section: Discussionmentioning

confidence: 99%

“…Since this operation is often performed without biopsy of the lesion an already existing carcinoma cannot be entirely excluded, though a long interval between operation and the development of recognizable cancer makes this less likely. In practice a patient who has had only a palliative gastroenterostomy for gastric cancer surviving for five years is rare, but occasional exceptions occur, as for example in Pygott's (1964) recorded case of survival for seven years.Gray and Lofgren (1948) reviewed a 10-year series of 825 partial gastrectomies performed at the Mayo Clinic a variable period after gastroenterostomy for 9 gastric or duodenal ulcer. Eleven cases of gastric cancer were encountered among the patients previously operated on for duodenal ulcer, an average of 15 years after the gastroenterostomy.…”

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Gastric cancer associated with gastroenterostomy and partial gastrectomy.

Pygott¹

1968

Gut

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Gastric surgery as a definitive method of treatment for simple peptic ulcer has been practised on an increasing scale over the last 50 or 60 years. Despite operation complete relief may not result and the patient may present at widely varying periods afterwards with new or recurrent symptoms. Increasing age brings an increased risk of gastric cancer but the onset of this occasional sequel may be obscured by symptoms which may have followed more immediately after operation. The purpose of this paper is to describe our experiences in the radiological diagnosis of gastric cancer in 13 patients who had already had gastric surgery for simple peptic ulceration, eight having had a gastroenterostomy and five a partial gastrectomy.Records of individual cases of gastric cancer following gastroenterostomy appear in the literature from the mid 1920s onwards. Beatson gastric or duodenal ulcer. Eleven cases of gastric cancer were encountered among the patients previously operated on for duodenal ulcer, an average of 15 years after the gastroenterostomy. There were six cases of gastric cancer among those operated upon for gastric ulcer but five of the gastric ulcer cases were operated upon within two years of gastroenterostomy so it may be that the original diagnosis of simplicity was incorrect. Freedman and Berne (1954) record a collected series of 55 patients with gastric carcinoma of the gastroduodenal stoma and added a further three of their own. In their series 24 primary operations were for duodenal ulcer and 14 were for gastric ulcer, the reason being unknown in the remainder. The average interval between gastroenterostomy and the recognition of gastric cancer in their series was 17 years and in their personal cases the interval was from 26 to 40 years. Helsingen and Hillestad (1956) were able to obtain information about 229 patients who had had a partial gastrectomy for simple peptic ulcer from 10 to 35 years before: 11 cases of cancer of the gastric stump occurred at an interval of 20 years and 10 of these followed resection for gastric ulcer and only one for duodenal ulcer. They comment that the observed rate of carcinoma in gastric ulcer patients is about three times the expected rate and that in duodenal ulcer patients it is approximately the normal rate. De Jode (1961) reported 19 cases of gastric cancer following gastric operations, 12 following gastroenterostomy and seven partial gastrectomy in the 10 years 1949-58 at The London Hospital. Nine of his 12 gastroenterostomies were for duodenal ulcer and so were four of the seven partial gastrectomies; the remaining operations were for gastric ulcer. The interval between operation and gastric cancer was from 18 to 37 years in cases of gastroenterostomy and from two to 36 years after partial gastrectomy. In two cases occurring less than five years following the latter operation one patient had originally a duodenal ulcer and the other a gastric ulcer but in both the carcinoma was at the cardia and remote from the orig-117

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Gastric cancer associated with gastroenterostomy and partial gastrectomy.

Pygott¹

1968

Gut

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Multiple intestinal malignancies and prolonged survival in a young woman

Thomas

Hall

Hislop

1974

Journal of British Surgery

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An unusual case of long srrruiual after multiple primary gastrointestinal malignancies is reported. A 30-yearold woman developed a carcinoma of the cardiac region oj her stomach with local extension to the oesophagus; 11 years following limited resection she is alive and well. During the infervening period she developed three separate predominantly poorly differentiated cancers of the colon and anorher in the rectum. Lymph node metastases were present in association with the first colonic carcinoma; local involvement of the uterus and pericolic veins was observed wirh the rectal turnour. Factors known to influence the prognosis of' gastric and colonic carcinomas are briefly reviewed.

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Bösartige Geschwülste

Berndt

1974

Magen

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Long survival after carcinoma of the stomach

Cited by 6 publications

References 10 publications

Gastric cancer associated with gastroenterostomy and partial gastrectomy.

Gastric cancer associated with gastroenterostomy and partial gastrectomy.

Multiple intestinal malignancies and prolonged survival in a young woman

Bösartige Geschwülste

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