残胃癌与残胃再发癌32例临床分析

目的：探讨残胃癌与残胃再发病的定义、产生病因、早期诊断与合理外科治疗方法。方法：回顾分析残胃癌与残胃再发癌的临床资料。结果：残胃癌多在胃切除术后10年发病，残胃再发癌多在5年内发病；胃镜检查优于钡餐，早期癌可行部分残胃切除，进展期癌应行全残胃切除或并邻近脏器联合切除。结论：对胃良性疾病行胃大部分切除术后10年以上病人进行定期内窥镜检查，胃癌行胃大部分切除术后病人1－2年进行一次内窥镜检查及多处取活检是早期诊断的重要途径。早期病例外科治疗效果好，晚期治疗效果不佳。

Clinical Analysis of 32 Cases with Gastric Stump Cancer and Recurrent Gastric Stump Cancer

Objective:To study the definition,etiology,early diagnosis and rational treatment of gastric stump cancer and recurrent gastric stump cancer.Methods:The clinical data of gastric stump cancer and recurrent gastric stump cancer were analysed retrospectively.Results:The onset time was 10 years or more for gastric stump cancer and 5 years or less for recurrent gastric stump cancer after gastrectomy. Gastroscopy was better than double contrast redigraphy in diagnoses. Partial resection of gastric stump was performed for patients with early stage. Total resection of gastric stump or resection combinated with neighboring organs was performed for patients with advanced cancer. Conclusion:Regular gastroscopy is useful for detecting gastric stump cancer in patients with benign disease or cancer after gastrectomy.The effect of surgical treatment is better for patients with early stage,poor for advanced cancer.