ABSTRACT
The immediate and late results of surgical treatment in 1096 gastric cancer patients are analysed. Some difficulties of establishing the diagnosis based on clinical, laboratory and roentgenological tests are emphasized. To establish an early diagnosis in high risk patients, it is necessary to systematically perform fibrogastroscopic examinations and, if indicated,--diagnostic laparotomy. It is suggested to widen the indications to gastric resection in case of doubtfully operable stages of cancer process. Aside from gastrectomy, constructing of enteroesophageal anastomosis by invaginating the esophagus into the jejunal terminal portion seems to be preferable, which improves the safety of anastomotic sutures and eliminates reflux-esophagitis, postoperatively. In localization of the tumor above the pylorus a Billroth-I gastrectomy is believed to be preferable. The latter would contribute to earlier and more adequate rehabilitation of patients. The histological tumor structure was not found to render any significant effect on the remote results.
