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Comparison of esophagocardiac and more distal gastric cancer in patients with prior ulcer surgery
Author(s) -
Picton T. D.,
Owen D. A.,
MacDonald W. C.
Publication year - 1993
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19930101)71:1<5::aid-cncr2820710103>3.0.co;2-c
Subject(s) - medicine , cancer , gastrectomy , gastroenterology , esophagus , adenocarcinoma , stomach , peptic ulcer , cancer surgery , surgery
Background . Adenocarcinoma of the gastric cardia and/or lower esophagus differs from cancer of the more distal stomach. Methods . The authors compared the proportion of patients with these two types of cancer who underwent surgery for peptic ulcers more than 5 years before the diagnosis of cancer during the periods 1977–82 and 1983–88. Results . The total number of patients with esophagocardiac cancer increased from 99–241 between the two periods, but the number with previous ulcer surgery remained the same (n = 7) in each period. The total number of more distal gastric cancers decreased from 262 to 237 between the two periods, but the number with previous ulcer surgery increased from 9–26 ( P = 0.002). Only 4 of 14 patients with esophagocardiac cancer and a previous ulcer had a partial gastrectomy compared with 27 of 35 patients with more distal gastric cancers ( P = 0.005). Conclusion . These data indicate a relationship between partial gastrectomy and the late development of gastric cancer, but this finding is confined to cancers not involving the cardia. Cancer 1993; 71:5‐8.