Pathology of the Gastrointestinal Tract

2017 Edition
| Editors: Fátima Carneiro, Paula Chaves, Arzu Ensari

Gastric Stump

  • Chella R. S. van der PostEmail author
  • Fátima Carneiro
Reference work entry


Gastric remnant; Gastroenterostoma


The gastric stump is defined as the part of the stomach that remains after partial resection. The gastroenterostomy area, either gastroduodenostomy (after Billroth-I) or gastrojejunostomy (after Billroth-II surgery), is important since there is an increased risk of developing (pre-)neoplastic conditions after remote partial gastrectomy. Gastric stump carcinoma or gastric remnant cancer is defined as a gastric carcinoma occurring in the gastric remnant at least 5 years after surgery for benign peptic ulcer disease. Many studies have confirmed the increased risk of developing gastric cancer in the gastric stump. Sometimes the term “gastric stump carcinoma” is used more broadly to refer to all cancers arising in the remnant stomach after partial gastrectomy, regardless of the initial disease or operation, and includes local recurrence in the gastric stump after prior partial gastrectomy for gastric cancer. In the latter, it seems...

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References and Further Reading

  1. MacDonald, W. C., & Owen, D. A. (2001). Gastric carcinoma after surgical treatment of peptic ulcer: An analysis of morphologic features and a comparison with cancer in the nonoperated stomach. Cancer, 91(9), 1732–1738.PubMedGoogle Scholar
  2. Offerhaus, G. J., van de Stadt, J., Huibregtse, K., Tersmette, A. C., & Tytgat, G. N. (1989). The mucosa of the gastric remnant harboring malignancy. Histologic findings in the biopsy specimens of 504 asymptomatic patients 15 to 46 years after partial gastrectomy with emphasis on nonmalignant lesions. Cancer, 64(3), 698–703.PubMedGoogle Scholar
  3. Sinning, C., Schaefer, N., Standop, J., Hirner, A., & Wolff, M. (2007). Gastric stump carcinoma – epidemiology and current concepts in pathogenesis and treatment. European Journal of Surgical Oncology, 33(2), 133–139.PubMedGoogle Scholar
  4. Sitarz, R., Maciejewski, R., Polkowski, W. P., & Offerhaus, G. J. (2012). Gastroenterostoma after Billroth antrectomy as a premalignant condition. World Journal of Gastroenterology, 18(25), 3201–3206.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Chella R. S. van der Post
    • 1
    Email author
  • Fátima Carneiro
    • 2
  1. 1.Department of PathologyRadboud University Medical CenterNijmegenThe Netherlands
  2. 2.Faculty of Medicine of Porto University, Centro Hospitalar São João and Ipatimup/i3SPortoPortugal