Khomiakov Iu M, Berdichevskiĭ V N, Ponomarev V A
Vopr Onkol. 1980;26(10):87-90.
It was found that the development of cancer in the resected stomach stump during the first 2-3 years following the operation may be due to duodenal ulcer associated with atrophic gastritis foci. The probability of cancer arising in the stump is greater 10 years and longer after the operation, especially in persons older then 50. The clinical manifestations of gastric stump cancer do not differ from those of gastric cancer in nonoperated patients. Cancer in the gastric stump develops against the background of atrophic gastritis in the total absence of acid-producing and excretory functions. Dispensary control with a mandatory endoscopic examination annually may contribute to timely recognition of gastric stump cancer.
研究发现，手术后最初2 - 3年内切除胃残端发生癌症可能是由于十二指肠溃疡伴有萎缩性胃炎病灶。术后10年及更长时间，尤其是50岁以上人群，胃残端发生癌症的可能性更大。胃残端癌的临床表现与未接受手术的胃癌患者并无差异。胃残端癌是在萎缩性胃炎且完全缺乏产酸和排泄功能的背景下发生的。每年进行强制性内镜检查的门诊监测有助于及时发现胃残端癌。
