Bosseckert H, Kreibich U
Dtsch Z Verdau Stoffwechselkr. 1980;40(2):63-70.
205-patients after partial resection of the stomach for benign gastroduodenal ulcers (104 patients for gastric ulcers, 81 patients for duodenal ulcers, 14 patients for combined ulcers) were examined gastroscopically from 1970--1976. The operation was performed more than 5 years ago. 35 carcinomas of the gastric stump could be found (17%). The operation was done in 695 of all cases more than 20 years ago and the male/female relation was estimated to be 6:1. --In 170 other patients with resection of the stomach (61 patients for primary gastric carcinoma, 103 for benign ulcers and 6 for other reasons) with a postoperative interval fewer than 5 years, 10 relapse of carcinoma and 4 carcinomas of the stump were observed. These 4 carcinomas of the stump must be seen as relapses of an carcinoma primarily diagnosed as an ulcer. Gastroscopic-bioptic examinations of patients with an operation performed more than 10 years ago for benign lesions should be done every year. If the cause of operation had been a carcinoma than from the first year after operation.
1970年至1976年间，对205例因良性胃十二指肠溃疡行胃部分切除术的患者（胃溃疡104例，十二指肠溃疡81例，复合溃疡14例）进行了胃镜检查。手术在5年多以前进行。发现35例胃残端癌（17%）。所有病例中有695例手术在20多年前进行，男女比例估计为6:1。——在另外170例胃切除患者中（原发性胃癌61例，良性溃疡103例，其他原因6例），术后间隔少于5年，观察到10例癌复发和4例残端癌。这4例残端癌必须视为最初诊断为溃疡的癌的复发。对10多年前因良性病变接受手术的患者，应每年进行胃镜活检检查。如果手术原因是癌，则从术后第一年开始。
