Dittrich S, Theuring F
Zentralbl Allg Pathol. 1985;130(3):211-6.
The general autopsy material of the Institute of Pathology of the Medical Academy in Magdeburg for the years 1977 to 1981 was reviewed and cases of stomach cancer, stomach cancer in resected stomachs and individuals with prior stomach operations were identified. In a total of 16,474 autopsy reports there were 354 with prior stomach resections of whom 39 had a carcinoma in the previously operated stomach, a frequency of 11.3%. The proportion of stomach cancers in the total autopsy series was 4.3%. Ulcus ventriculi was the most frequent reason for the stomach surgery which had been performed an average of 27 years before. In 87% a 2/3 resection according to Billroth II had been employed. Cancer of the stomach, in persons previously operated on for benign gastric disease may be regarded as a late complication of surgery. The implications of this finding are discussed.
对马格德堡医学院病理研究所1977年至1981年的一般尸检材料进行了回顾，确定了胃癌病例、切除胃中的胃癌病例以及曾接受过胃部手术的个体。在总共16474份尸检报告中，有354例曾接受过胃部切除术，其中39例在先前手术的胃中患有癌症，发生率为11.3%。胃癌在整个尸检系列中的比例为4.3%。胃溃疡是进行胃部手术最常见的原因，手术平均在27年前进行。87%的手术采用了根据毕罗Ⅱ式的2/3切除术。对于先前因良性胃部疾病接受手术的人来说，胃癌可被视为手术的晚期并发症。本文讨论了这一发现的意义。
