Most of the 38 cases of gastric remnant after resection of the surgical treatment of gastric cancer.doc

 PAGE \* MERGEFORMAT 16 Most of the 38 cases of gastric remnant after resection of the surgical treatment of gastric cancer 【Abstract】 Objective: To investigate the clinical characteristics of gastric stump cancer, diagnosis and surgical treatment. Methods: A retrospective analysis of 38 cases treated in a hospital clinical data for gastric stump cancer. Results: The lack of typical symptoms of gastric stump cancer; Billroth Ⅱ type the high incidence of postoperative; only two cases of early gastric cancer, the rest are from the middle and late; can occur in any part of the remnant stomach; radical resection rate was 60.5% (23/38 ); 3-year 5-year survival rates were 65.2%, 30.4%. Conclusion: The majority of patients after stomach followed up on a regular basis, and endoscopy is conducive to early detection of gastric stump cancer, surgery is still the most effective treatment, radical surgery can improve survival. Keywords: gastric remnant cancer; the clinical features; surgical treatment of Stomach, duodenum due to benign lesions after subtotal gastrectomy 5 years or more, occurred in remnant stomach cancer as the primary remnant gastric cancer in recent years, the incidence increased year by year [2]. The author has collected in our hospital from 2002 to 2007 62 cases of gastric remnant clinical data, of which 38 cases of remnant gastric cancer pathogenesis, early diagnosis, surgical treatment were analyzed retrospectively. A clinical data 1.1 General Information 38 cases, male 22 cases, female 16 cases, aged 41 to 73 years, the average (56.8 ± 7.4) years of age; found in remnant stomach cancer to first operative time was 8 to 25 years, the average (13.1 ± 3.1) years. 480 cases of gastric remnant of the original surgical method Billroth Ⅰ type 230 cases and found 12 cases of remnant gastric cancer, the incidence of 5.2% (12/230); Billroth Ⅱ type 250 cases and found 27 cases of remnant gastric cancer, the incidence of 1