title: Clinicopathological characteristics of remnant gastric cancer after a distal gastrectomy.
abstract: BACKGROUND
  The survival rate of patients with remnant gastric cancer (RGC) is unfavorable in comparison to that of cancer in the nonresected stomach. However, when RGC is curatively resected, no significant differences have been reported between both groups in regard to survival. The aim of this study is to analyze the clinicopathological factors influencing a curative resection of RGC.
  
  
  METHODS
  Thirty-eight consecutive patients with RGC from January 1, 1994 through March 31, 2009 were enrolled in this retrospective study.
  
  
  RESULTS
  Their primary diseases were gastric cancers (21; 55.3%) and benign diseases (17; 44.7%). The type of the reconstruction methods of first gastrectomy were Billroth I (28; 73.7%) and Billroth II (10; 26.3%). A total of 31 patients underwent a laparotomy. Twenty patients underwent a curative resection, four patients underwent a palliative resection, and seven underwent a nonresective operation. A total of seven patients underwent an endoscopic resection for early gastric cancer, and all patients received a curative resection. Univariate and multivariate logistic regression analyses were performed to identify the clinicopathological and background factors influencing a curative resection of RGC. A multivariate analysis revealed only an annual follow-up endoscopic examination after the initial gastrectomy to be an independent factor for a curative resection (p=0.016; odds ratio, 35.3).
  
  
  CONCLUSIONS
  An annual follow-up endoscopic examination an after initial gastrectomy may be related to improving the prognosis of patients with RGC.
authors.affiliation: Second Department of Surgery, School of Medicine, Wakayama Medical University, 811-1, Kimiidera, Wakayama 641-8510, Japan.
authors.forename: Toshiyasu
authors.initials: T
authors.lastname: Ojima
authors.forename: Makoto
authors.initials: M
authors.lastname: Iwahashi
authors.forename: Mikihito
authors.initials: M
authors.lastname: Nakamori
authors.forename: Masaki
authors.initials: M
authors.lastname: Nakamura
authors.forename: Teiji
authors.initials: T
authors.lastname: Naka
authors.forename: Masahiro
authors.initials: M
authors.lastname: Katsuda
authors.forename: Takeshi
authors.initials: T
authors.lastname: Iida
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Tsuji
authors.forename: Keiji
authors.initials: K
authors.lastname: Hayata
authors.forename: Katsunari
authors.initials: K
authors.lastname: Takifuji
authors.forename: Hiroki
authors.initials: H
authors.lastname: Yamaue
mesh_terms: D000368:Aged; D005260:Female; D005743:Gastrectomy; D018530:Gastric Stump / Q000473:pathology* / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013272:Stomach Diseases / Q000601:surgery; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*