Gandolfi L, Vaira D, Bertoni F, Rossi A, Solmi L, Leo P, Muratori R
Department of Gastroenterology, M. Malpighi Hospital, Bologna, Italy.
Gastrointest Endosc. 1988 May-Jun;34(3):242-6. doi: 10.1016/s0016-5107(88)71321-8.
Sixteen thousand fiberoptic endoscopies were reviewed. Gastric stump cancer was found in 24 patients of 368 who had had gastric resection for benign peptic disease. A direct relation between the percentage of patients with cancer of the gastric stump and the postsurgical interval was observed. Patients with partial gastrectomy who are 15 to 20 years postoperative should have an endoscopy irrespective of presence or lack of symptoms. Multiple biopsies should be taken in view of the multicentric growth pattern of early carcinoma.
回顾了16000例纤维内镜检查。在368例因良性消化性疾病行胃切除术的患者中,发现24例残胃癌。观察到残胃癌患者的百分比与术后间隔时间之间存在直接关系。胃部分切除术后15至20年的患者,无论有无症状,均应进行内镜检查。鉴于早期癌的多中心生长模式,应进行多次活检。