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Stump cancer following gastric surgery

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Abstract

This paper reviews the literature regarding the development of gastric cancer in the stomach remnant following gastric resection. Although there is as yet little supporting experimental evidence, clinical studies suggest that the risk of developing gastric cancer is increased, perhaps as much as 6-fold, following partial gastrectomy for benign lesions. It also appears that the risk of developing cancer is greatest if the lesion for which the gastrectomy was originally performed was a gastric ulcer rather than a duodenal ulcer. The type of gastrectomy does not seem to influence this increased risk. Hypotheses are reviewed concerning the role of changes in gastric morphology following partial gastrectomy in the development of cancer.

Résumé

Revue de la littérature concernant le développement d'un cancer dans le moignon gastrique après gastrectomie subtotale. Malgré l'absence de preuve expérimentale, les études cliniques suggèrent que le risque d'apparition d'un cancer est accru, peutêtre jusqu'à 6 fois, après gastrectomie pour lésion bénigne. Le risque semble être également plus élevé après gastrectomie pour ulcère gastrique que pour ulcère duodénal. Le type de résection gastrique n'a aucune influence. Diverses hypothèses ont été émises concernant les altérations postopératoires de la morphologie gastrique et leur rôle possible dans le développement du cancer: ces hypothèses sont revues.

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Authors and Affiliations

  1. Department of Surgery, Charing Cross Hospital Medical School, London, England

    John C. Nicholls M.B., F.R.C.S.

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  1. John C. Nicholls M.B., F.R.C.S.
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Nicholls, J.C. Stump cancer following gastric surgery. World J. Surg. 3, 731–734 (1979). https://doi.org/10.1007/BF01654802

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  • DOI: https://doi.org/10.1007/BF01654802

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