Journal of Nippon Medical School: Vol.69 No.5 page.489

Journal of Nippon Medical School

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ArticleTitle Surgical Treatment of Gastric Remnant-stump Cancer

AuthorList Yubao Zhang^{1, 2}, Akira Tokunaga¹, Gotaro Masuda¹, Takeshi Okuda¹, Teruo Kiyama¹, Toshiro Yoshiyuki¹, Shunji Kato¹, Norio Matsukura¹, Takashi Tajiri¹ and Masahiko Onda¹

Affiliation ¹Department of Surgery (I), Nippon Medical School, ²Department of Surgery, The Third Hospital of China Haerbin Medical School

Language JA

Volume 69

Issue 5

Year 2002

Page 489-493

Received April 2, 2002

Accepted May 16, 2002

Keywords gastric remnant cancer, clinico-pathological study, surgical treatments, early gastric cancer, periodic endoscopy

Abstract The aim of this study was to evaluate the characteristics, and treatment of gastric remnant cancer based on an analysis of the surgical results of Nippon Medical School over the past 18 years. Thirty seven patients (27 males and 10 females, mean age 60 years) underwent surgery for gastric remnant cancer. Patients who had undergone gastrectomy with Billroth II anastomosis for benign disorder underwent re-gastrectomy for the cancer of gastric remnant 20 years after the first gastrectomy. While, patients who had undergone gastrectomy with Billroth I anastomosis for malignant disorder underwent re-gastrectomy within 10 years after the first gastrectomy. Early-type gastric remnant cancers were not observed in the suture line or gastric stump region, while advanced-type cancers were observed in the anastomotic region. Surgical treatment was carried out by the method of total gastrectomy with Roux-en-Y esophago-jejunal anastomosis. The 5 year survival rates were 77%for early cancer and 14%for advanced cancer. Periodic follow-up endoscopies in gastrectomized patients may be useful for the early detection of gastric remnant cancer after operations for gastric cancer.

Correspondence to Akira Tokunaga, MD, Department of Surgery (I), Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
tokunaga@nms.ac.jp

ArticleTitle	Surgical Treatment of Gastric Remnant-stump Cancer
AuthorList	Yubao Zhang^{1, 2}, Akira Tokunaga¹, Gotaro Masuda¹, Takeshi Okuda¹, Teruo Kiyama¹, Toshiro Yoshiyuki¹, Shunji Kato¹, Norio Matsukura¹, Takashi Tajiri¹ and Masahiko Onda¹
Affiliation	¹Department of Surgery (I), Nippon Medical School, ²Department of Surgery, The Third Hospital of China Haerbin Medical School
Language	JA
Volume	69
Issue	5
Year	2002
Page	489-493
Received	April 2, 2002
Accepted	May 16, 2002
Keywords	gastric remnant cancer, clinico-pathological study, surgical treatments, early gastric cancer, periodic endoscopy
Abstract	The aim of this study was to evaluate the characteristics, and treatment of gastric remnant cancer based on an analysis of the surgical results of Nippon Medical School over the past 18 years. Thirty seven patients (27 males and 10 females, mean age 60 years) underwent surgery for gastric remnant cancer. Patients who had undergone gastrectomy with Billroth II anastomosis for benign disorder underwent re-gastrectomy for the cancer of gastric remnant 20 years after the first gastrectomy. While, patients who had undergone gastrectomy with Billroth I anastomosis for malignant disorder underwent re-gastrectomy within 10 years after the first gastrectomy. Early-type gastric remnant cancers were not observed in the suture line or gastric stump region, while advanced-type cancers were observed in the anastomotic region. Surgical treatment was carried out by the method of total gastrectomy with Roux-en-Y esophago-jejunal anastomosis. The 5 year survival rates were 77%for early cancer and 14%for advanced cancer. Periodic follow-up endoscopies in gastrectomized patients may be useful for the early detection of gastric remnant cancer after operations for gastric cancer.
Correspondence to	Akira Tokunaga, MD, Department of Surgery (I), Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan tokunaga@nms.ac.jp