Stadelmann O
Langenbecks Arch Chir. 1977 Nov;345:307-12. doi: 10.1007/BF01305494.
Endoscopy of the resected stomach is indicated in the presence of all types of symptoms affecting the stomach, in gastrointestinal bleeding, and within the framework of prophylactic screening and follow-up examinations for cancer detection. Frequent findings are peptic ulcers, suture granulomas, and reflux esophagitis. Carcinomas in the stump develop increasingly from the 10th to 15th postoperative years. In the resected stomach, the pylorocardial expansion type of gastritis predominates. Atrophy is not an obligatory finding. Foveolar hyperplasia is typical, predominantly in the region of the anastomosis.
对于出现影响胃部的各类症状、胃肠道出血的情况,以及在癌症检测的预防性筛查和随访检查框架内,均需对切除的胃部进行内镜检查。常见的发现有消化性溃疡、缝线肉芽肿和反流性食管炎。残端癌在术后第10至15年的发生率逐渐增加。在切除的胃中,幽门心肌扩张型胃炎占主导。萎缩并非必然出现的表现。小凹增生很典型,主要出现在吻合口区。