Gastric stump carcinoma after partial gastrectomy for benign gastric lesion: What is feasible as standard surgical treatment?

✍ Scribed by Kodera, Yasuhiro; Yamamura, Yoshitaka; Torii, Akihito; Uesaka, Katsuhiko; Hirai, Takashi; Yasui, Kenzo; Morimoto, Takeshi; Kato, Tomoyuki; Kito, Tsuyoshi

• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 505 KB
• Volume: 63
• Category: Article
• ISSN: 0022-4790
• DOI: 10.1002/(sici)1096-9098(199610)63:2<119::aid-jso9>3.0.co;2-h

✦ Synopsis

Method:

Clinicopathological features and prognostic factors were evaluated in 26 cases of stump carcinoma, operated on in the recent 20 years, in search of the standard surgical treatment.

Background:

Stump carcinoma usually emerges more than 20 years after the initial gastrectomy and is often not diagnosed in the early clinical stage, resulting in a significantly low incidence of curative resection compared with primary gastric carcinoma.

Results:

No improvement in the survival curves for stump carcinoma was observed between the past two decades. nodal metastases were frequently found within the first tier nodes, and no 5-year survivor was found among the patients with nodal metastasis beyond pn1.

Conclusions:

Subtotal gastrectomy might suffice for the treatment of stomal cancer, and most patients might not benefit from extensive lymphadenectomy.