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Cancer of the gastric stump following operations for benign gastric or duodenal ulcers
Author(s) -
Gazzola L. M.,
Saegesser F.
Publication year - 1975
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.2930070405
Subject(s) - medicine , pyloroplasty , gastroenterostomy , exploratory laparotomy , gastroenterology , laparotomy , cancer , endoscopy , vagotomy , stomach , etiology , duodenal cancer , general surgery , surgery , gastrectomy
Twenty‐seven patients who developed cancer of the stomach after undergoing gastric resection (GR), gastroenterostomy (GE), and vagotomy and pyloroplasty (VP) for benign gastric or duodenal ulcer are reported. The etiology and the pathogenesis of this type of cancer are discussed. Long‐term exposure of the gastric mucosa to bile and duodenal and pancreatic secretion reflux seems to create a premalignant potential state. Symptoms and the diagnostic methods of radiologic series, cytology, and endoscopy are discussed. We suggest a curative operative approach and discuss the poor value of palliative procedures. We emphasize the necessity of determining the prognosis with exploratory laparotomy which establishes at the same time the certitude of the diagnosis.