Prognostic factors in gastric stump carcinoma

To compare prognostic results in patients with gastric stump cancer (GSC) versus those with primary gastric cancer (PGC). Gastric stump carcinomas have often been described as having low resectability rates and a poor prognosis. Results of surgical treatment of 50 patients with GSC were compared wit...

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Bibliographic Details
Published in:Annals of surgery 2000-02, Vol.231 (2), p.188-194
Main Authors: THORBAN, S, BÖTTCHER, K, ETTER, M, RODER, J. D, BUSCH, R, SIEWERT, J. R
Format: Article
Language:English
Subjects:
Adenocarcinoma - mortality
Adenocarcinoma - surgery
Aged
Biological and medical sciences
Case-Control Studies
Female
Gastric Stump
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Male
Medical sciences
Middle Aged
Multivariate Analysis
Original
Prognosis
Stomach Neoplasms - mortality
Stomach Neoplasms - surgery
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Survival Analysis
Tumors
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Summary:To compare prognostic results in patients with gastric stump cancer (GSC) versus those with primary gastric cancer (PGC). Gastric stump carcinomas have often been described as having low resectability rates and a poor prognosis. Results of surgical treatment of 50 patients with GSC were compared with that of 516 patients with PGC. The resectability rate was 94% for GSC patients and 96.5% for PGC patients, without significant differences in terms of postoperative complications, death rate, and median survival time (31.6 vs. 32.9 months). The multivariate analysis showed an independent prognostic effect for R0 resection, pT1 and pT2 category, and age older than 65 years. The prognosis after resection and adequate lymphadenectomy does not differ between patients with GSC and PGC.
ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-200002000-00006