Gastric stump carcinoma after surgery for gastroduodenal ulcer.
In a series of 2473 patients on whom operations of various types were carried out for gastroduodenal ulcer 32 (1.3%) developed a gastric stump carcinoma after Polya gastrectomy. Analysis of these patients shows that: (1) in patients undergoing gastrectomy stump cancer may develop more than 10 years after the initial operation; (2) partial gastrectomy with gastrojejunostomy for duodenal ulcer is associated with the highest incidence of this complication; and (3) early diagnosis of the complication is of paramount importance for treatment and prognosis.
D000230:Adenocarcinoma / Q000209:etiology; D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000601:surgery*; D011183:Postoperative Complications; D012509:Sarcoma / Q000209:etiology; D013274:Stomach Neoplasms / Q000209:etiology* / Q000601:surgery; D013997:Time Factors