Abstract
AbstractA prospective study, consisting of annual interview, has been carried out on 225 patients who had a partial gastrectomy between 1955 and 1960, a follow‐up of between 22 and 27 years. Seventy‐seven patients have died during followup, with an accurate cause of death known in 71. One patient died of gastric stump cancer 17 years after a Polya gastrectomy for duodenal ulcer, representing the only stomach cancer in this series. This is an incidence of 0.44% as compared to an incidence of 0.1% for the general population of similar age.We have reviewed the literature with regard to the incidence of gastric stump cancer. This review and our own data suggest that the incidence is sufficiently low to make annual endoscopy of asymptomatic post‐gastrectomy patients unjustified. This conclusion may well need qualification if it becomes possible to define premalignant changes in gastric mucosa from endoscopic biopsy, so that a high‐risk subpopulation can be identified.
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