Carcinoma of the stomach

Hoerr, Stanley O.

doi:10.1016/0002-9610(61)90227-6

Cited by 17 publications

(13 citation statements)

References 56 publications

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“…Many of the series were excluded because they failed to meet simple criteria which would allow a valid assessment of 5-year survival. A frequent reason for exclusion was failure 197G-1975 1963-1971 1946-1976 1958-1978 1946-1972 1948-1973 195G-1973 19741975 1972-1976 1956-1 975 1970-1974 Australia 1969-1973Canada 1972Norway 1970Portugal 195G-1972USA 196G1978 Brazil 19661973 Japan 1965Japan 1965Italy 1940USA 19641978 Japan 1965Italy 1971Italy 1975Japan 197G1979 USA 1955USA 196G1980 USA 1956Finland 1950-1974Phillipines 1975Japan 197C-1980USA 1975Finland 1965Italy 1958Japan 1961Japan 1976 30 (81) 249 (94) 1634 (63) 1228 (82) 241 (98) 201 (89) 146 (85) 369 (74) -~ 187 (91) 242 (88) 209 (86) 454 (95) 166 ( (71) 21 (57) 804 (31) 718 (48)…”

Section: Discussionmentioning

confidence: 99%

Improving survival in gastric cancer: Review of 5-year survival rates in English language publications from 1970

Akoh

Macintyre

1992

Journal of British Surgery

192

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In this review of English language publications from 1970, 5-year survival rates after surgery for gastric cancer have been analysed. While the proportion of patients coming to operation has fallen from 92 per cent before 1970 to 71 per cent by 1990, the proportion of operated patients undergoing resection has increased from 37 per cent before 1970 to 48 per cent before 1990. This change suggests improved preoperative staging leading to better patient selection for operation. The 5-year survival rate following all resections has increased significantly from 20.7 per cent before 1970 to 28.4 per cent before 1990, an increase of 7.7 per cent (95 per cent confidence interval 7.1-8.3 per cent). The 5-year survival rate following curative or radical resection has risen from 37.6 to 55.4 per cent over the same period, an increase of 17.8 per cent (95 per cent confidence interval 17.1-18.5 per cent). It is likely that this improvement has contributed to the decrease in the mortality rate from gastric cancer. Comparison of Japanese series with others suggests that diagnosis and treatment of the disease at an earlier stage will result in an even greater increase in 5-year survival rates outside Japan. Of the papers studied, 56 per cent were excluded from analysis, the majority because the data provided about 5-year survival rates were insufficient or the survival calculations inappropriate. Results of survival after operations for gastric cancer should be calculated and presented in a standardized manner.

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Section: Discussionmentioning

confidence: 99%

Improving survival in gastric cancer: Review of 5-year survival rates in English language publications from 1970

Akoh

Macintyre

1992

Journal of British Surgery

192

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“…Patients with radiologic findings of para-aortic lymph node enlargement, pancreas and liver invasion, and mesocolon involvement were preoperatively judged to have a disease in which the curative resection was impossible. 1 , 16 ) However, according to the protocol, all of these patients underwent exploratory laparotomy within 14 days from radiological studies for either palliation or attempt at cure.…”

Section: Methodsmentioning

confidence: 99%

“…The prognosis of a patient with gastric adenocarcinoma depends on his or her clinical stage at presentation. Therefore, accurate determination of the extent of tumor growth is essential for the proper management of patients with gastric cancer 1 ) . Abdominal computed tomography (CT) 2 – 10 ) and ultrasonography (US) 11 – 14 ) have been used to preoperatively predict the stage of the gastric cancer.…”

Section: Introductionmentioning

confidence: 99%

Preoperative Evaluation of the Curative Resectability of Gastric Cancer by Abdominal Computed Tomography and Ultrasonography: A Prospective Comparison Study

Kim

Jung

Song

et al. 1997

Korean J Intern Med

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ObjectivesWe compared the ability of preoperative abdominal computed tomography (CT) with that of preoperative abdominal ultrasonography (US) in predicting the extent of tumor growth and the curative resectability of gastric cancer.MethodsAbdominal CT and US were done in 95 patients with gastric adenocarcinoma. The radiologic findings were prospectively compared with surgical and pathologic findings.ResultsThe sensitivities of abdominal CT and US in detecting the perigastric lymph node involvement were 26.6% and 20%, respectively. The sensitivity of abdominal CT in predicting the pancreatic invasion (60%) was better than that of abdominal US (20%). However, there were 6 false positive diagnosis of pancreatic invasion by abdominal CT; in contrast, there was no false positive diagnosis of pancreatic invasion by abdominal US. Of 95 patients who underwent surgical exploration, 14 were found to have unresectable tumors because of extragastric organ involvement and distant metastases. Abdominal CT falsely predicted 8 of 74 cases in which curative gastric resection was impossible as resectable. Moreover, abdominal CT falsely predicted 5 of 81 cases in which curative gastric resection was possible as unresectable. Abdominal US falsely predicted 12 of 14 cases in which curative surgery was impossible as resectable.ConclusionPreoperative abdominal CT and US did not accurately predict the tumor extent and the curative resectability of the gastric cancer. Especially, abdominal CT finding of pancreatic invasion by gastric cancer should not be a contraindication for surgical exploration.

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“…W~ihrend im ~ilteren Schrifttum [19,5] Die Heilungschancen werden, wie aus der Tabelle 9 hervorgeht, ebenso wie beim jiingeren Menschen [7,14] weitgehend vom Tumorstadium zum Zeitpunkt der Operation bestimmt. Nur unter den Bedingungen einer kontinuierlichen 12berwachung der Vitalfunktionen kSnnen Komplikationen rechtzeitig erkannt und behandelt werden.…”

Section: Diskussionunclassified

Magencarcinomchirurgie auch bei �ber 70j�hrigen?

Bittner¹,

Beger²,

Kraas³

et al. 1978

Langenbecks Arch Chiv

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In this study it is reported about operative mortality and long-term results of surgery of gastric carcinoma in patients over the age of 70 years. The operative mortality in 50 patients with a distal partial gastrectomy was 16%, the mortality in 24 patients with total gastrectomy was 33.3% and in 14 patients with a proximal gastrectomy the mortality was 28%. The main cause of death (40%) was a pneumonia. There was no correlation between frequency of pneumonia and preoperative results of measurement of lung function. Only advanced arteriosclerotic disease in the heart and brain has a fatal influence on mortality rate. In the old patients the long-term results are determined by the staging of the tumor at the time of operation, too. In the 60 patients, who had left the hospital and who are in our control, the half year survival rate was 78.3%, the 1-year survival rate was 58.3% and the 2-years survival rate is exceeding 41.6%. 14 patients of the 17, who are still alive and who are after 2 1/2 years again explored, are in a very good condition. In comparison with the literature it is to conclude that for the indication to surgery of gastric carcinoma there is important not only the real age of the patient but rather the biological and mental condition of the patient.

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Carcinoma of the stomach

Cited by 17 publications

References 56 publications

Improving survival in gastric cancer: Review of 5-year survival rates in English language publications from 1970

Improving survival in gastric cancer: Review of 5-year survival rates in English language publications from 1970

Preoperative Evaluation of the Curative Resectability of Gastric Cancer by Abdominal Computed Tomography and Ultrasonography: A Prospective Comparison Study

Magencarcinomchirurgie auch bei �ber 70j�hrigen?

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