el Alaoui M, Merzouk M, Ridai M, Biadillah M C
CHU IBN Rochd, Casablanca, Maroc.
J Chir (Paris). 1993 Nov;130(11):483-5.
Among a series of 266 cases of gastric cancer operated on between 1981 and 1991, 8 cases were developed on gastric stump after gastro-duodenal surgery. A post operative delay of 10 years has been insisted upon. We note an exclusive masculine series. The main age was 61 years. Clinical aspects were univoque and treatment was always surgical with a resecability rate of 37%. Pathological analysis of operatory specimen and biopsies has shown everywhere an adenocarcinoma. The only way to improve the prognosis and to lay the live based on the yearly histoendoscopic supervision since the tenth year after initial intervention of these operated patients of the stomach with high neoplastic risk.
在1981年至1991年间接受手术的266例胃癌病例中,有8例是在胃十二指肠手术后在胃残端发生的。术后已坚持10年的延迟期。我们注意到这是一个全男性系列。主要年龄为61岁。临床情况是明确的,治疗总是采用手术,可切除率为37%。手术标本和活检的病理分析显示各处均为腺癌。对于这些具有高肿瘤风险的胃手术患者,自初次干预后的第十年起,基于每年的组织内镜监测是改善预后和延长生命的唯一方法。