TY - JOUR
T1 - Incidence of gastric cancer in the remnant stomach after proximal gastrectomy
AU - Nunobe, Souya
AU - Ohyama, Shigekazu
AU - Miyata, Satoshi
AU - Matsuura, Masaaki
AU - Hiki, Naoki
AU - Fukunaga, Tetsu
AU - Seto, Yasuyuki
AU - Ushijima, Masaru
AU - Yamaguchi, Toshiharu
PY - 2008/9/1
Y1 - 2008/9/1
N2 - Background/Aims: Gastric cancer in the remnant stomach after proximal gastrectomy has not been studied in detail. The aim of this study was to clarify the incidence of this type of cancer. Methodology: From 478 cases of radical proximal gastrectomy followed prospectively, those that developed gastric cancer in the remnant stomach were identified. The incidence of gastric cancer in the remnant stomach in the cohort was compared with the expected incidence of gastric cancer in the general population. Results: Gastric cancer in the remnant stomach occurred in 8 (6 males, 2 females) of 478 patients (1.7%). The duration from primary gastrectomy to gastric cancer in the remnant stomach detection was over 10 years in 3 cases. In males, the rate of the incidence of gastric cancer in the remnant stomach was lower than the expected incidence for all durations. In females, the rate was also low, but appeared slightly elevated from 6 to 10 years and from 16 to 20 years after the primary gastrectomy. Conclusions: The incidence of proximal gastrectomy after proximal gastrectomy is not high, and the risk in males is especially low. However, proximal gastrectomy may develop over 10 years after surgery, and long-term follow-up is essential.
AB - Background/Aims: Gastric cancer in the remnant stomach after proximal gastrectomy has not been studied in detail. The aim of this study was to clarify the incidence of this type of cancer. Methodology: From 478 cases of radical proximal gastrectomy followed prospectively, those that developed gastric cancer in the remnant stomach were identified. The incidence of gastric cancer in the remnant stomach in the cohort was compared with the expected incidence of gastric cancer in the general population. Results: Gastric cancer in the remnant stomach occurred in 8 (6 males, 2 females) of 478 patients (1.7%). The duration from primary gastrectomy to gastric cancer in the remnant stomach detection was over 10 years in 3 cases. In males, the rate of the incidence of gastric cancer in the remnant stomach was lower than the expected incidence for all durations. In females, the rate was also low, but appeared slightly elevated from 6 to 10 years and from 16 to 20 years after the primary gastrectomy. Conclusions: The incidence of proximal gastrectomy after proximal gastrectomy is not high, and the risk in males is especially low. However, proximal gastrectomy may develop over 10 years after surgery, and long-term follow-up is essential.
KW - Follow up study
KW - Gastric cancer in the remnant stomach
KW - Proximal gastrectomy
UR - http://www.scopus.com/inward/record.url?scp=57049185793&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=57049185793&partnerID=8YFLogxK
M3 - Article
C2 - 19102408
AN - SCOPUS:57049185793
VL - 55
SP - 1855
EP - 1858
JO - Acta hepato-splenologica
JF - Acta hepato-splenologica
SN - 0172-6390
IS - 86-87
ER -