Clinical analysis to 11 cases of surgical treatment of primary cardiac and esophageal carcinoma of remnant stomach / 中国基层医药

ABSTRACT

Objective To report the surgical treatment results of cardiac and esophageal cancer of remnant stomach.Methods From 1980 to 2005,11 patients with cardiac and esophageal cancer of remnant stomach were treated surgically.Results Primary cardiac and esophageal carcinoma of remnant stomach developed in male patients more than females.Of 11 patients,7 underwent subtotal gastrectomy with Billroth Ⅱ reconstruction at first time.The mean interval between two operations was 13 years.Clinical symptoms frequently included abdominal distension,pain and hemorrhage.Thirty patients received radical resection.Conclusion Cancer in remnant stomach should be suspected in patients undergoing subtotal gastrectomy 5 years and over have clinical symptoms of upper gastrointestinal tract.Early diagnosis and early curative resection should be done.For esophageal cancer of remnant stomachmcolon reconstruction after the resection of esophageal cancer is recommmended.