Carcinoma of the gastric stump. Our experience

The authors have examined eight patients operated at the Department of Surgery "B" of the G. Bosco Hospital (Torino) from 1980 to 1992 for gastric stump cancer. All patients were male of about 72 years who were subjected to resection: 5 for gastric ulcer and 3 for duodenal ulcer. During th...

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Bibliographic Details
Published inMinerva chirurgica Vol. 49; no. 9; p. 791
Main Authors Della Beffa, V, Fontana, D, Leli, R, Saroglia, G, Voghera, P
Format Journal Article
LanguageItalian
Published Italy 01.09.1994
Subjects
Aged
Carcinoma - mortality
Carcinoma - surgery
Gastric Stump
Gastroscopy
Humans
Male
Middle Aged
Prognosis
Reoperation
Stomach Neoplasms - mortality
Stomach Neoplasms - surgery
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Summary:The authors have examined eight patients operated at the Department of Surgery "B" of the G. Bosco Hospital (Torino) from 1980 to 1992 for gastric stump cancer. All patients were male of about 72 years who were subjected to resection: 5 for gastric ulcer and 3 for duodenal ulcer. During the first operation they used the same recanalization technique after gastric resection: the semi-oral distal gastric jejunal anastomosis created by Hofmeister-Finsterer. The second operation was the subtotal gastric resection made on 6 patients, total gastrectomy in 1 case and explorative laparotomy in an inoperable case. The average of free time from disease was 32 years while it is 24 years in literature. The mean survival was 40 months. The 5-year survival was about 33%. The authors conclude that carcinoma of the gastric stump has a worst prognosis then carcinoma in normal stomach. The subtotal resection has the same results as in total gastrectomy.
ISSN:0026-4733