Abstract
Twenty-three cases of cancer of the gastric remnant experienced at our department in past one decade were retrospectively studied and the following findings could be drawn out.1) Cancers arising in the gastric remnant was most commonly found in aged men. 2) Patients group whose initial diseases were malignant had cancers of the gastric remnant in shorter periods after operation compared to other patients group whose initial ones were benign. 3) As to the reconstruction method in the initial operation, patients undergone Billroth II tended to develop cancers in the anastomsed and sutured site of the remnant stomach, in that a reflux of cholic acid into the remnant stomach might probably participate. 4) Remnant stomach cancers occurred within 5 years after the initial operation might include possible synchronous multiple gastric cancers. In such cases more careful consideration is needed pre- and perioperatively. 5) Unfortunately the prognosis of remnant stomach cancer must be said poor in general, however, patients in stage I can sufficiently expect to survive for a long period. The significance of strict postoperative follow-up is reconfirmed irrespective of the nature (benign or malignant) of the initial disease.
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