Tassi A, Goracci G L, Volpi G, Cirocchi R
Université des Etudes de Perugia, Clinique Chirurgicale, Italie.
Ann Chir. 1995;49(2):155-9.
The authors review their experience of 8 cases of primary carcinoma of the gastric stump during the period 1989-1992. During the same period, 164 gastric cancers were treated in the same department. Mean duration between primary gastric resection and diagnosis of gastric stump carcinoma was 30 years (6 to 42 years). All patients underwent a Billroth II primary gastric resection. Only 4 patients underwent radical surgical resection of their gastric stump carcinoma; 2 patients underwent only explorative laparotomy for very advanced and unresectable gastric stump carcinoma; 2 patients were inoperable because of their general status. This series of 8 cases of gastric stump carcinoma emphases the importance of endoscopic investigations during follow-up of patients with gastric resection, in order to diagnose and treat resectable gastric stump carcinoma.
作者回顾了他们在1989年至1992年期间8例胃残端原发性癌的治疗经验。同期，同一科室共治疗了164例胃癌患者。初次胃切除与胃残端癌诊断之间的平均间隔时间为30年（6至42年）。所有患者均接受了毕Ⅱ式初次胃切除术。只有4例患者接受了胃残端癌的根治性手术切除；2例患者因胃残端癌病情非常严重且无法切除，仅接受了剖腹探查术；2例患者因全身状况而无法进行手术。这组8例胃残端癌病例强调了在胃切除术后患者随访期间进行内镜检查的重要性，以便诊断和治疗可切除的胃残端癌。
