The Clinical Analysis Of 60 Patients Of Gastric Stump Cancer

Objective: To verify the incidence of the gastric stump cancer after BillrothII operation is higher than that of BillrothI type ; and compare the living rate after operation for gastric stump cancer between the patients who had got BillrothII operation and those who had got BillrothI operation. Method: There were 147 cases who had got treatment in our hospital from 1960-1999, in them , 130 patients had got operation, and from 60 cases we had received the healthy messages. I reviewed analyzed these 60 patients. According to the types of first operation, we divide the 60 patients to two groups. We make the patients who had got BillrothI operation for No.1 group (abbreviation BI group), and we make the patients who had got BillrothII operation for No.2 group (abbreviation BII group). Result: It has 13 patients in BI group, 21.67% of the total numbers, in them,10 had got complete dissection and 3 for appeased operation . The total living rate for 1,3,5 years after operation for gastric stump cancer is 76.92%,46.15%,38.46%,the rates are 90%,60%,50% for the patients who had got complete dissection, and 33.33%,0%,0% for appeased ones. It has 47 patients in BII group, 78.33% of the total numbers, in them, 28 had got complete dissection and 19 for appeased operation . The total living rate for 1,3,5 years after operation for gastric stump cancer is 68.09%,36.17%,21.28%,the rates are 100%,60.71%,35.71% for the patients who had got complete dissection, and 21.05%,0%,0% for appeased ones. We can see that the incidence of gastric stump cancer after BillrothII operation is obviously higher than that after BillrothI operation. But the living rate after operation for gastric stump cancer have no difference according to the statistics analysis. Conclusion: First operation type can affect the incidence of gastric stump cancer, the type of BillrothII can cause a apparently higher incidence than BillrothI type, but there is no differently living rate between the two groups after operation for gastric stump cancer, seldom GSC patients had had the first operation type as Roux-en-Y.