Occurrence of cancer in the gastric stump after stomach resection
Popov, P.; Brailski, K.
Vutreshni Bolesti 18(1): 33-38
1979
ISSN/ISBN: 0506-2772 PMID: 433249 Document Number: 149551
The investigation of 654 patients with gastric resection on the occasion of benign gastric diseases (17 with duodenal and 6 with gastric ulcers and 2 with polyps of the stomach) revealed cancer origination in the remaining part of the stomach in 25 patients (3.82%). The average of the patients at resection was 41 and the cancer confirmation in the stomach remaining part--63 (cancer process develops after about an average of 22 years--from 8 to 38 years after the resection)--in 16 of the patients in the region of the anastomosis and in the rest--at a distance from it. Cancer in the stomach remaining part was admitted in 28 per cent on the base of clinical-laboratory data, roentgenologically was diagnosed and admitted in 64 per cent and fibrogastroscopically in 52 per cent. In 80 per cent of the patients positive cancer results were obtained by purposeful gastrobiopsy. Severe atrophic gastritis in the adjoining mucosa was found in 88 per cent of the examined. Radical operation treatment (total and subtotal gastric resection) was performed to 44 per cent of the patients, the rest were inoperable. The resected stomach is a precancerosis dur to which the patients should be enlisted in the dispensary system (particularly after the 10th year after the resection) and every year to be clinically, laboratory and endoscopically-biopsy controlled with a view to the timely diagnosis of the cancer of the stomach remaining part.