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.