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

Journal of Nippon Medical School

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ArticleTitle 残胃の癌の外科治療

AuthorList 張玉宝^{1, 2}, 徳永昭¹, 増田剛太郎¹, 奥田武志¹, 木山輝郎¹, 吉行俊郎¹, 加藤俊二¹, 松倉則夫¹, 田尻孝¹, 恩田昌彦¹

Affiliation ¹日本医科大学外科学第1教室, ²中国ハルピン医科大学付属第三病院外科

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	残胃の癌の外科治療
AuthorList	張玉宝^{1, 2}, 徳永昭¹, 増田剛太郎¹, 奥田武志¹, 木山輝郎¹, 吉行俊郎¹, 加藤俊二¹, 松倉則夫¹, 田尻孝¹, 恩田昌彦¹
Affiliation	¹日本医科大学外科学第1教室, ²中国ハルピン医科大学付属第三病院外科
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