Domellöf L, Eriksson S, Janunger K G
Am J Surg. 1976 Jul;132(1):26-31. doi: 10.1016/0002-9610(76)90284-1.
Carcinoma of the gastric remnant after resection for benign ulcers is regarded as a rare complication after Billroth I resection. In seventy-four patients reexamined by gastroscopy and multiple biopsies ten to twenty-two years after gastric resection four cases of cancer of the gastric stump were diagnosed and the patients operated on. Another eight patients had regenerative polyps and one patient had a tubular adenoma. The histologic findings in gastroscopic biopsy specimens from the gastric stoma and fundus are compared. Possible precancerous changes and etiologic aspects are discussed briefly. Repeated gastroscopy is recommended starting about ten years after gastric resection for benign ulcers.
良性溃疡切除术后残胃癌被视为毕罗Ⅰ式切除术后的一种罕见并发症。在74例胃切除术后10至22年接受胃镜检查及多次活检复查的患者中，诊断出4例胃残端癌并对患者进行了手术。另外8例患者有再生性息肉，1例患者有管状腺瘤。对胃吻合口和胃底的胃镜活检标本的组织学发现进行了比较。简要讨论了可能的癌前变化和病因方面。建议在良性溃疡胃切除术后约10年开始进行重复胃镜检查。
