Perforation in gastric malignancy

Cortese, Armand F.; Zahn, Darwin; Cornell, George N.

doi:10.1002/jso.2930040304

Cited by 18 publications

(10 citation statements)

References 6 publications

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“…We summarize their clinicopathologic data (including that of our patient) in Table 1. omental patch [1,2,14,15]. Unsuccessful outcomes after these procedures were considered to be due to the poor condition of the patients and failure to controll sepsis.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Perforation of gastric cancer accounts for less than 1% of the incidence of acute abdomen [1] and few reports of the condition have appeared in the English-language literature in the past 20 years [2,3]. Since perforated gastric cancer is clinically characterized by generalized peritonitis and an advanced stage of the disease, it usually results in a poor outcome, and long-term survival is rare.…”

Section: Introductionmentioning

confidence: 99%

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Long-term survival after perforation of advanced gastric cancer: Case report and review of the literature

et al. 1998

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Abstract:Perforation of gastric cancer accounts for less than 1% of the incidence of acute abdomen, and usually results in a poor outcome. We report a patient who has survived for 6 years and 11 months thus for after emergency total gastrectomy for perforation of advanced gastric cancer. A 49-year-old man was admitted with severe abdominal pain. Under the diagnosis of diffuse peritonitis due to peptic ulcer perforation, an emergency total gastrectomy was done. The intraoperative gross diagnosis was Borrmann type 2 tumor with perforation, and extended lymph node dissection and postoperative chemotherapy was therefore added. Histopathologic examination confirmed that the tumor, measuring 7 ؋ 6 cm, was poorly differentiated adenocarcinoma involving the serosa and perigastric lymph nodes. Review of the literature disclosed that long-term survival after perforation of advanced gastric cancer was rare and resulted from curative gastrectomy for stage I tumor without serosal invasion and lymph node metastasis.

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Section: Review Of the Literaturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-term survival after perforation of advanced gastric cancer: Case report and review of the literature

et al. 1998

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“…Córlese et al [4] reported that 2 patients were treated with plication followed by delayed gastrectomy. One pa tient lived for 9 years before dying of carcinomatosis, the other was alive and well 2.5 years after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…In 1972. Cortese et al [4] published a series of reports in which perforation occcurred in 20 of 2,181 gastric malignancies (0.9%). According to some Japanese researches, the incidence of perforation origi nating from cancer of the stomach varied from 0.13 to 2.9% with an average of 0.61 % [5][6][7][8], thus being slightly lower than the one reported in the English literature, which is between 0.9 and 6.0% [3,4,9], This higher per centage is due to the high incidence of well differentiated adenocarcinomas in the United States.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Perforated Gastric Cancer

Miura¹,

Ishii²,

Shimoyama³

et al. 1985

Dig Surg

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“…perforation of gastric cancer is rare and it accounts for less than 1% of the incidences of an acute abdomen (1,2). it is difficult to identify the cause of gastric perforation during emergency surgery, particularly when a frozen section is unavailable.…”

Section: Introductionmentioning

confidence: 99%

Outcome after emergency surgery in patients with a free perforation caused by gastric cancer

Tsujimoto¹

2009

Exp Ther Med

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Abstract. perforation of gastric cancer is rare and it accounts for less than 1% of the incidences of an acute abdomen. in this study, we reviewed cases of benign or malignant gastric perforation in terms of the accuracy of diagnosis and investigated the clinical outcome after emergency surgery in patients with a free perforation caused by gastric cancer. On the basis of pathological examination, gastric cancer was diagnosed in 8 patients and benign ulcer perforation in 32 patients. The sensitivity, specificity and accuracy of intraoperative diagnosis by pathological examination were 50, 93.8 and 85%, respectively. except for age, there were no differences in the other demographic characteristics between patients with gastric cancer and benign ulcer perforation. the median survival time of patients with perforated gastric cancer was 195 days after surgery. patients with gastric cancer perforation had a poorer overall survival rate than those who had t3 tumors without perforation. in addition, in patients with perforation, recurrence of peritoneum occurred more frequently. in conclusion, to improve the survival rate of patients with perforated gastric cancer and to improve the accuracy of intraoperative diagnosis, endoscopic examination and/or pathological examination of the frozen section should be performed, if possible. a balanced surgical strategy using laparoscopic local repair as the first-step of surgery, followed by radical open gastrectomy with lymphadenectomy may be considered.

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Perforation in gastric malignancy

Cited by 18 publications

References 6 publications

Long-term survival after perforation of advanced gastric cancer: Case report and review of the literature

Long-term survival after perforation of advanced gastric cancer: Case report and review of the literature

Surgical Treatment of Perforated Gastric Cancer

Outcome after emergency surgery in patients with a free perforation caused by gastric cancer

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