RISKS IN GASTRIC STUMP CARCINOMA AND IMPORTANCE OF ENDOSCOPIC SURVEILLANCE IN EARLY DIAGNOSIS
MEHMET MİHMANLI1, MURAT ÖZDEMİR1, ALİ KALYONCU1, FEVZİYE KABUKÇUOĞLU2, NİLGÜN CAFERLER2, MAHMUT GÜNEY1
1Şişli Etfal Hastanesi, 1.Genel Cerrahi Servisi, Şişli, İSTANBUL
2Şişli Etfal Hastanesi, Patoloji Servisi, Şişli, İSTANBUL
Abstract
This study includes 62 patients who previously underwent partial gastric resection for peptic ulcer. Thirty two of them (Group A) had complaints, while thirty patients (Group B) had not. Endoscopic examination was performed and mucosal biopsies were taken from gastric remnant.
Mean age of group A was 57.3 and group B was 52.7. The average time between first operation and endoscopic examination was 15.7 years in Group A and 14 years in Group B.
The most common finding (50% of patient) in group A was reflux gastritis. Intestinal metaplasia (6%), epithelial displasia (3%) and recurrent ulcer (1.5%) were the other findings. Gastric stump carcinoma was noted in 4.8% of patients.
Chronic superficial gastritis (83%) and chronic atrofic gastritis (17%) were the findings in Group B.
Results of our study, we recommend routine endoscopic surveillance of the patients who had any symptom or presents reflux gastritis, atrofic gastritis, intestinal metaplasia and epithelial dysplasia on previous endoscopic examination.