Osnes M, Lotveit T, Myren J, Serck-Hanssen A
Endoscopy. 1977 Mar;9(1):45-9. doi: 10.1055/s-0028-1098487.
In a consecutive series of 830 routine gastroscopies a total of 43 patients was found with gastric carcinomas, Thirteen of these were patients with a previous Billroth-II operation for ulcer disease. Early cancers were found in ten patients (23%), and four of these ten (3 men, 1 woman, aged 49 to 76 years), had been operated on 20-33 years previosuly with a Billroth II partial gastrectomy. All patients had symptoms indicating gastro-intestinal disease. We conclude that a high number of gastric stump carcinomas may be detected at an early stage, and that endoscopy of the whole gastric stump, with multiple biopsies and brush cytology from the entire gastro-jejunal anastomosis, is of crucial importance in detecting such carcinomas.
在连续830例常规胃镜检查中，共发现43例胃癌患者。其中13例曾因溃疡病接受过毕Ⅱ式手术。10例（23%）发现为早期癌，这10例中的4例（3男1女，年龄49至76岁）在20至33年前接受过毕Ⅱ式胃部分切除术。所有患者均有胃肠道疾病症状。我们得出结论，大量胃残端癌可在早期被检测到，对整个胃残端进行内镜检查，并对整个胃肠吻合口进行多次活检和刷片细胞学检查，对于检测此类癌症至关重要。
