[Carcinoma of the gastric stump after surgery of gastroduodenal ulcer].
Thirty-two cases are presented of carcinoma of the gastric stump after surgery for gastroduodenal ulcer disease, duodenal in 19 patients (59.38%) and gastric in 13 (40.65%). All underwent gastric resection, with Billroth I type reconstruction in 5 cases (15.62%) and Billroth II in 27 (84.36%). The patients generally had very advanced carcinoma at the time of diagnosis and the studies made, barium contrast and endoscopy, were always positive. The operability rate was 84.26% and the rate of curative resectability was 28.12%, this group of patients attaining the longest survival. An evaluation was made of the possible mechanisms implicated in the pathogenesis of this type of carcinoma, type of operation performed, location of the peptic lesion, type of reconstruction, etc. A follow-up protocol was established for the patients who underwent resection, the degree of risk being evaluated in relation to the postoperative period. Finally, to prevent the potentially neoplastic stage of the gastric stump, we present surgical procedures for the treatment of the ulcerative disease which have not been demonstrated to increase the long-term risk of gastric carcinoma.
Docobo Durántez
F
F
Lozano Crivell
M
M
Fernández Dovale
M
M
Buezas Martínez
G
G
D000368:Aged; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013274:Stomach Neoplasms / Q000209:etiology*; D013276:Stomach Ulcer / Q000601:surgery*
Carcinoma del muñón gástrico tras cirugía por ulcus gastroduodenal.