[Surgical treatment of gastric stump carcinoma. Causes of the poorer results compared with primary gastric carcinoma (author's transl)].

In 3183 gastric operations during the past 13 1/4 years, 40 gastric stump carcinomas were observed after B II resection for benign ulcer. Eight of these underwent radical subtotal resection; 14 had total gastrectomy. Early and late follow-up prognosis of total gastrectomy for gastric stump carcinoma is significantly (p less than 0,05) worse than that for total gastrectomy for primary carcinoma of the stomach (n = 112). To improve the prognosis of gastric stump carcinoma, periodic follow-up of all patients with resected stomach to confirm an early diagnosis is necessary. Radical subtotal resection must be given priority because of its significantly lower lethality compared with a total gastrectomy.