Carcinoma of the gastric stump in China

Abstract

51 cases of gastric stump carcinoma were collected from 18 hospitals throughout China during the past 9.5 years. There were 47 males and 4 females, 41 cases (80.4 %) were over 50 years of age. The primary preceding diseases were: gastric ulcer 31, duodenal ulcer 17, and benign gastric lesion 3 cases. The types of previous operation were Billroth I in 29, Billroth I in 7, and not reported in 15 cases. The mean interval from the operation to the diagnosis of cancer was 13.8 years. 88 % of the present series had a definite diagnosis by fibergastroscopy and biopsy. The rest of the cases were diagnosed by postoperative pathologic examination. X-ray examination was positive in only 19 % of cases. The location of the cancer was at the anastomotic stoma in 45 %, in the body of stump in 36 %, and in the fundus in 19 %.

Local irritation following the anastomosis was considered as a possible cause of malignant transformation. Meticulous care in suturing and the proper use of absorbable suture material may help to reduce the development of this cancer.

Keywords

carcinoma of the gastric stump / gastroscopy

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