Sowa M, Kato Y, Umeyama K
Osaka City Med J. 1989 Jun;35(1):21-7.
Eighteen patients received gastrectomy for primary cancer of the gastric remnant were studied clinico-histopathologically. Gastric ulcer had been the most common condition requiring previous gastric surgery, and Billroth II resection had been the most often employed procedure. The cancer of the gastric remnant was in an advanced stage in all patients. Tumors were detected in the sutured or anastomosed region (especially the latter) of the remnant stomach in a great majority of the patients studied. In spite of combined resection of the adjacent organs, such as spleen, pancreas and colon in most patients, curative resection could be done in only a half of them and the prognosis was poor in general. These observations seem to stress the importance of following up gastrectomized patients periodically and precautiously by endoscopic examination with multiple biopsy, because early detection of cancer of remnant stomach may lead to improvements in therapeutic results.
对18例因残胃癌接受胃切除术的患者进行了临床病理研究。胃溃疡是以往最常见的需要进行胃部手术的疾病，毕Ⅱ式切除术是最常用的术式。所有患者的残胃癌均处于晚期。在大多数研究患者中，肿瘤位于残胃的缝合或吻合区域（尤其是后者）。尽管大多数患者联合切除了相邻器官，如脾脏、胰腺和结肠，但只有一半患者能够进行根治性切除，总体预后较差。这些观察结果似乎强调了对胃切除患者定期进行内镜检查并多次活检进行谨慎随访的重要性，因为早期发现残胃癌可能会改善治疗效果。
