Gastric remnant carcinoma: Just another proximal gastric cancer or a unique entity?

Elliot Newman, Murray F. Brennan, Steven N. Hochwald, Lawrence Harrison, Martin S. Karpeh

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

BACKGROUND: Gastric cancer that occurs 5 or more years after distal gastric resection for benign disease is defined as gastric remnant carcinoma (GRC). The purpose of this study was to determine whether postresection outcome differs between GRC and primary proximal gastric cancer (PPGC). METHODS: Twenty-five patients with GRC who underwent resection between August 1985 and July 1994 were compared with 79 PPGC patients who underwent resection during the same time period. RESULTS: Overall actuarial 5-year disease-specific survival was 63% for curatively resected GRC patients and 37% for the curatively resected PPGC patients (P = 0.1, log rank). No significant differences in survival were seen between the two groups when stratified for stage. On multivariate analysis of significant predictors of outcome for the 104 patients as a group, only the ability to do a curative resection was significant. CONCLUSION: The outcome following resection of GRC is no different from that of other primary proximal gastric cancers of the same stage. Every effort should be made to perform a curative resection, as this is a significant predictor of outcome.

Original languageEnglish (US)
Pages (from-to)292-297
Number of pages6
JournalAmerican Journal of Surgery
Volume173
Issue number4
DOIs
StatePublished - Apr 1 1997
Externally publishedYes

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Gastric Stump
Stomach Neoplasms
Carcinoma
Survival
Stomach
Multivariate Analysis

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Newman, Elliot ; Brennan, Murray F. ; Hochwald, Steven N. ; Harrison, Lawrence ; Karpeh, Martin S. / Gastric remnant carcinoma : Just another proximal gastric cancer or a unique entity?. In: American Journal of Surgery. 1997 ; Vol. 173, No. 4. pp. 292-297.
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Gastric remnant carcinoma : Just another proximal gastric cancer or a unique entity? / Newman, Elliot; Brennan, Murray F.; Hochwald, Steven N.; Harrison, Lawrence; Karpeh, Martin S.

In: American Journal of Surgery, Vol. 173, No. 4, 01.04.1997, p. 292-297.

Research output: Contribution to journalArticle

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