| Objective: To analyze the clinical features of diagnosis and treatment for gastric stump cancer.Methods: From Jan. 1994 to 2004 March, 49 patients with gastric stump cancer received surgical operation in our hospital. The patients were divided into early stage and advanced groups by the endoscopic and pathology result. And by the operation method, the patients were divided into radical and palliative groups . Clinical data were analyzed retrospectively.Result: There were 9 early cases (18.3%) and 40 advanced cases (81.7%) with gastric stump cancer. Their cumulative 5-year survival rate was 88.9%, 47.5% respectively. The early cases all received radical resection, And in the advanced cases, 27 cases received radical resection, 11 cases received palliative resection, the last 2 cases were only explored. The median survival time of radical and palliative groups was 69 months, 12 months respectively. There are significant difference between the both.Conclusion: It is necessary to carry out the periodic endoscopic examination in the patients who have received gastrectomy. The reasonable radical resection is the key to prolong the postoperative survival time in gastric stump cancer.
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