Schmid E, Vollmer R, Adlung J, Blaich E, Goebell H, Heinkel K, Kimmig J M, Probst M
Z Gastroenterol. 1976 Sep;14(5):521-30.
In 24 000 gastroscopies at 4 medical departments 705 subjects with gastric operations done more than 5 years before had been studied. 39 of 608 patients with Billroth II, 5 of 81 with Billroth I and 4 out of 15 with gastroenterostomy were found to be suffering from carcinoma of the gastric stump. The primary gastric operations were performed at a medium age of 40 years. The interval between surgery and development of carcinoma averaged 24 years and was shorter in patients operated at a higher age. Besides age and interval since operation risk factors were apparently former gastric ulcers or polyps. Indications for endoscopic follow-up studies of gastrectomized patients to improve surgical results with carcinoma of the gastric stump have been suggested.
在4个医学科室进行的24000例胃镜检查中，对705例5年多以前做过胃部手术的患者进行了研究。在608例毕罗Ⅱ式手术患者中，有39例、81例毕罗Ⅰ式手术患者中有5例、15例胃肠吻合术患者中有4例被发现患有残胃癌。初次胃部手术时的平均年龄为40岁。手术至癌发生的间隔平均为24年，年龄较大者手术的患者间隔较短。除年龄和手术后间隔外，明显的危险因素是既往胃溃疡或息肉。已提出对胃切除患者进行内镜随访研究的指征，以改善残胃癌的手术效果。
