CLINICAL STUDY OF RESECTED CASES OF CANCER OF THE REMNANT STOMACH

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  • 残胃の癌切除例の臨床的検討

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Abstract

We defined the cancers of the remnant stomach as those which probably arose in the remnant stomach independently from the initial lesion after an interval of more than 5 years following the initial operation. And the patients were divided into two groups for comparison; eight patients who had a cancer after an interval of less than ten years (short-term group) and another eight patients, more than ten years (long-term group). As a result, only three cases which had gastric ulcer as the initial lesion came from the long-term group, involving two cases of B-II reconstruction. Thirteen casees of gastric cancer included 12 cases of early gastric cancer. Compared with the short-term group, the long-term group was characterized by younger average age at the initial operations; more symptomatic patients when cancer of the remnant stomach developed; and more advanced cancers. But there was no significant difference in histopathological findings and location of the cancer between the two groups. There were each one patient with stage IV cancer who died of recurrence in both groups. Except them all patients had a cancer less than stage II and were radically operated on, being alive. Good prognosis of the disease has been shown. It is thought that early detection of the cancer of the remnant stomach is important for an improvement of therapeutic results; and for tha, periodic endoscopic examination for a long time and aggressive follow up for them after gastrectomy are needed.

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