PMID: 8957725Dec 1, 1996Paper

Clinicopathologic characteristics and prognosis of gastric stump cancer

Journal of Clinical Gastroenterology
C N ChenK M Chen

Abstract

To evaluate the prognosis of patients with gastric stump cancer after previous distal gastrectomy for benign gastroduodenal disease, we compared 25 patients with resected gastric remnant cancer with 143 patients with primary cancer in the upper third of the stomach. The histopathological differences between gastric remnant cancer and primary cancer were not significant, except for esophageal invasion. The percentage of esophageal invasion in gastric remnant cancer is 16%, significantly lower than 56.6% in primary cancer. The overall 5-year survival rates were 46% and 25% for patients with resected remnant cancer (n = 25) and resected primary cancer (n = 143), respectively, and there was no statistical difference between the two groups. The 5-year survival rates for gastric remnant cancer with stage I or II and primary cancer with the same stages were 89% (n = 11) and 39% (n = 50), a statistically significant (p < 0.02) difference. On contrast, the 5-year survival rate for gastric remnant cancer with stage III or IV was 0%, which was significantly worse than 17% for primary cancer with the same stages (p < 0.05). The prognosis of gastric remnant cancer is better than that of primary cancer in the upper third of the stomach at it...Continue Reading

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Citations

Apr 4, 2003·Critical Reviews in Oncology/hematology·Arnaud D Roth
Oct 30, 2015·Journal of Surgical Oncology·Thuy B TranGeorge A Poultsides
Jun 15, 2007·American Journal of Surgery·Nico SchaeferMartin Wolff
Oct 31, 2006·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·C SinningM Wolff
Sep 30, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H NienhüserA Ulrich
Jun 13, 2006·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·John WhitingMitsuru Sasako
Dec 17, 2015·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Hideaki ShimadaKoji Oba
Oct 17, 2014·World Journal of Gastroenterology : WJG·Shinsuke TakenoYuichi Yamashita
Nov 20, 2021·The American Surgeon·Kenichi IwasakiAkihiko Tsuchida

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