Abstract
BackgroundThe prognosis of the gastric stump cancer is said to be unfavourable as compared to primary gastric cancer in most published studies, as the diagnosis is made mainly in an advanced stage. The purpose of the study is the analysis of the own results after radical surgical treatment for gastric stump carcinoma.MethodsRadical tumorectomy combined with regional lymphadenectomy has been performed in 57 patients between 1978 and 1991. The median age at the time of primary gastric resection is 33 years, the free intervall until the diagnosis of the stump carcinoma is at 29 years.Results23 patients belong to the UICC-stage I, 15 to stage II, and 16 and 3 patients were classified as stage III and IV respectively. The overall 5-year survival probability is 60%, the median survival time is not reached during the observation time of 60 months.ConclusionsThere is no statistical difference of these results as compared with results obtained after radical surgery for primary gastric cancer. The reason for the particularly high percentage of 25% for the early gastric stump carcinoma in our hospital is due to a rigorous biannual endoscopic follow-up starting 15 years after previous gastric resection.
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