Gastric stump mucosa: is there a risk for carcinoma?

Safatle‐Ribeiro, Adriana Vaz; Ribeiro, Ulysses; Sakai, Paulo; Iriya, K; Ishioka, Shinichi; Gama-Rodrigues, Joaquim

doi:10.1590/s0004-28032001000400004

Cited by 14 publications

(8 citation statements)

References 35 publications

(83 reference statements)

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“…Also considered high-risk patients for development of gastric cancer are those undergoing gastric resections for benign diseases (peptic ulcer, for example) and patients carrying other gastric neoplasias such as adenoma and MALT lymphoma. Besides bacteria eradication, endoscopic monitoring at regular intervals in this population is recommended (17,180,190,195) .…”

Section: Statement 19mentioning

confidence: 99%

3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

Coelho

Maguinilk

Zaterka³

et al. 2013

Arq. Gastroenterol.

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Significant progress has been obtained since the Second Brazilian Consensus Conference on Helicobacter pylori Infection held in 2004, in São Paulo, SP, Brazil, and justify a third meeting to establish updated guidelines on the current management of H. pylori infection. The Third Brazilian Consensus Conference on H pylori Infection was organized by the Brazilian Nucleus for the Study of Helicobacter, a Department of the Brazilian Federation of Gastroenterology and took place on April 12-15, 2011, in Bento Gonçalves, RS, Brazil. Thirty-one delegates coming from the five Brazilian regions and one international guest, including gastroenterologists, pathologists, epidemiologists, and pediatricians undertook the meeting. The participants were allocated in one of the five main topics of the meeting: H pylori, functional dyspepsia and diagnosis; H pylori and gastric cancer; H pylori and other associated disorders; H pylori treatment and retreatment; and, epidemiology of H pylori infection in Brazil. The results of each subgroup were submitted to a final consensus voting to all participants. Relevant data were presented, and the quality of evidence, strength of recommendation, and level of consensus were graded. Seventy per cent and more votes were considered as acceptance for the final statement. This article presents the main recommendations and conclusions to guide Brazilian doctors involved in the management of H pylori infection.

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Section: Statement 19mentioning

confidence: 99%

3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

Coelho

Maguinilk

Zaterka³

et al. 2013

Arq. Gastroenterol.

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“…The same authors found that the period of time after the surgery, patient age at the time of surgery and histological changes in the stomach before the surgery had an impact on the occurrence of this carcinoma (7,9). The postoperative interval is the most important determinant of cancer risk following gastrectomy (19). In the study by Vera et al Carcinomas were diagnosed in 2.24% of examinees (7).…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Changes in the Gastric Stump Mucosa After Surgical Treatment for Ulcer Disease

Dinić¹,

Rajkovic²

2018

AMM

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“…Patienten nach partieller Magenresektion scheinen einem erhöhten Risiko der Krebsentstehung im Restmagen als die Normalbevölkerung im nicht resezierten Magen zu unterliegen [5,10,11], obwohl darüber kontroverse Ansichten diskutiert werden [1]. Männer seien 6 × häufiger betroffen als Frauen [12].…”

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Magenstumpfkarzinom – Herausforderung der Onkochirurgie

Meyer¹,

Benedix²,

Garlipp³

et al. 2011

Z Gastroenterol

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Gastric stump carcinoma after gastric surgery for benign disease is now widely recognized as a distinct clinical entity. An electronic literature search was performed in the MEDLINE database to identify relevant studies concerning epidemiology, prognosis, treatment, aetiology and pathology of gastric stump carcinoma. The references reported in these studies were used to complete the literature search. It can be assumed that approximately 10 % of patients who had undergone a distal gastric resection for benign disease will develop a carcinoma in the gastric remnant about 15 to 20 years after the primary procedure. The incidence is reported to be higher in males and following Billroth II resection. The site of tumour growth is predominantly in the anastomotic area, but may occur anywhere in the stump. Enterogastric reflux, achlorhydria, bacterial overgrowth, and genetic factors appear to be the major factors involved in the aetiopathogenesis of the gastric stump cancer. Unfortunately, a significant proportion of patients presents with synchronous metastases. Clinical symptoms are mainly attributed to locally advanced tumour growth. Surgical therapy comprises total removal of the gastric remnant and the jejunal segment including modified lymphadenectomy (D2 lymphadenectomy and jejunal mesentery). Surveillance of patients with endoscopy and multiple biopsies should be initiated from the tenth postoperative year and may provide the means to diagnose tumours at an early stage.

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Gastric stump mucosa: is there a risk for carcinoma?

Abstract: Surveillance of these patients with endoscopy and multiple biopsies may provide the means to diagnose tumors at an early stage, but the cost benefit ratio of surveillance requires further study.

Cited by 14 publications

References 35 publications

3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

Endoscopic Changes in the Gastric Stump Mucosa After Surgical Treatment for Ulcer Disease

Magenstumpfkarzinom – Herausforderung der Onkochirurgie

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