2002•日本消化器外科学会雑誌Open access
Remnant Stomach Cancer After Proximal Gastrectomy
Tsuyoshi Igami, Akihiro Yamaguchi, Masatoshi Isogai, Toru Harada, Yuji Kaneoka, Atsushi Akutagawa, Gen Sugawara, Kiyoshi Suzumura
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Abstract
We treated 6 patients with remnant stomach cancer after proximal gastrectomy from 1971 to 1997. Remnant stomach cancer after proximat gastrctomy was 5.0% in 120 patiets with proximal gastrectomy. 5 men and 1 woman aged 48 to 75 years old (averege: 65.2). The average term from proximal gastrectomy was 100.5 months (48 to 204), with all patients selecting esophagogastrostomy. Primary lesions involved early gastric cancer in 3 (m, n (-) 1;sm, n (-) 2), advanced gastric cancer in 2 (mp, n2 (+) 1;se, n1 (+) 1) and leiomyoma in 1. Remnant stomach cancer involved early in 4 (m, n (-) 2;sm, n (-) 2), advanced in 2 (se, n2 (+) 1;se, n4 (+) 1). Advanced cases resulted in death due to recurrence, while early cases survived (12 to 138 months). We also reviewed 26 cases of remnant stomach cancer after proximal gastrectomy in the Japanese literature. Primary lesions of early gastric cancer were more early remnant stomach cancer, primary lesions of benign lesion and advanced gastric cancer were more advanced remnant stomach cancer.
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