[Fibergastroscopy in the diagnosis of cancer of the stomach stump].

The work is based on studying the examination and therapy data of 108 patients with gastric stump cancer. In patients subjected to proximal gastric resection (8 observations) tumor was recognized in all cases both by fibergastroscopy and radiography. Of 100 patients with cancer of the gastric stump following distal resection the true character of the pathology was revealed fibergastroscopically in 97% of cases, while radiographically--only in 86%. Directed gastrobiopsy and cytological test of the material obtained by fibergastroscopy supported the diagnosis of gastric stump cancer in 67.05% and 76.60% of cases accordingly. Squamous cell-infiltrative cancer of the gastric stump, located in the region of the postperative scar, proved to be mostly difficult to diagnose both by fibergastroscopy and radiography. No distinct correlation was noted between the efficiency of fibergastroscopy for diagnosing gastric stump cancer and the size of tumor, while tumors of no more than. 1.0--1.5 cm in diameter were found to be mostly difficult to diagnosis radiographically. Among 108 gastric stump cancer patients 25 patients were radically operated upon.