Li Z L, Zhang X R, Meng Y, Fu Z R, Jing W K
Gastroenterol Jpn. 1984 Apr;19(2):131-5. doi: 10.1007/BF02806936.
A review of 33 cases of cancer in the gastric remnant (CGR) including 6 cases in Xian is presented. The detection rate of CGR consisting of different interval groups was 3.16%. The average age was 52.4 years, and Male: female ratio was 10:1. The average interval from the previous operation to the detection was 13.9 years. The interval of the subgroup over 30 years of age at the first operation was shorter than that of the subgroup below 30 years. The highest incidence was found in anastomotic stoma (58.1%) and cardia (32.3%). Borrmann I was the most common pathological type. Confirmed diagnostic rate with fibergastroscope was 81.8%. It is imperative that physician should follow up the patients with stomach remnant. No matter what the results of gastrointestinal barium study may be, the patients should undergo fibergastroscopic examination. The pathogenesis of CGR is also discussed.
本文报告了33例残胃癌（CGR）病例，其中包括西安的6例。不同间隔组的残胃癌检出率为3.16%。平均年龄为52.4岁，男女比例为10:1。从上一次手术到检出的平均间隔时间为13.9年。首次手术时年龄超过30岁的亚组间隔时间短于30岁以下的亚组。最高发病率见于吻合口（58.1%）和贲门（32.3%）。Borrmann I型是最常见的病理类型。纤维胃镜确诊率为81.8%。胃残端患者必须接受随访。无论胃肠道钡餐检查结果如何，患者均应接受纤维胃镜检查。本文还讨论了残胃癌的发病机制。
