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A comparative study of palliative resections for gastric carcinoma
Author(s) -
ElDomeiri Ali A.,
Knapper William H.,
Fortner Joseph G.
Publication year - 1972
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930040509
Subject(s) - medicine , gastrectomy , carcinoma , surgery , stomach , cancer , gastric carcinoma , palliative care , ascites , general surgery , gastroenterology , nursing
Of 449 patients with carcinoma of the stomach seen at Memorial Hospital over a span of 10 years, 80 had palliative gastric resection. Forty‐six had residual gross disease and thirty‐four had microscopic cancer at the margins of the specimen. The postoperative mortality rate was 17.5%. The duration of palliation averaged two thirds of the survival time with 91% of the patients developing late complications. The outcome of any palliative reaction in patients with gastric cancer depends on the location and extent of the disease. Distal subtotal gastrectomy should be performed only in the absence of extensive intra‐abdominal spread or ascites. The high mortality and the poor results of total gastrectomy and esophagogastrectomy preclude their application.