[Potential and limitations of conservative surgery in the treatment of gastric stump cancer].
In the Italian population the risk of gastric stump cancer after surgery for peptic ulcer is increased after 20-30 years. Bearing in mind that further surgery has little curative chances, we examined the series seen at the Institute of General Surgery of the University of Milan (1983-1992) to investigate whether or not patients followed-up endoscopically have a better chance of cure after surgery. Although only 10 patients were available for evaluation, it was evident that patients found at endoscopic screening in stage 0 and I (UICC classification) had a good survival after surgery. Our results support the need of strict endoscopic follow-up of resected patients 20 or more years after surgery and the need of further investigations to establish whether or not resection is useful and safe for early lesions.
Foschi
D
D
Istituto di Chirurgia Generale e Toraco-Polmonare, Ospedale Policlinico, IRCCS, Università degli Studi di Milano.
Castoldi
L
L
Radaelli
E
E
Cavagnoli
R
R
Spiropoulos
J
J
Trabucchi
E
E
Pietri
P
P
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D018530:Gastric Stump / Q000601:surgery*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate