Turkish Journal of Oncology Turkish Society for Radiation Oncology
Article Open Access Volume 26 · Issue 2 · 2011 pp. 061–066

Carcinoma of the gastric stump following Billroth II operation

Ahmet Oğuz HASDEMİR, Oktay BÜYÜKAŞIK, Nurettin KAHRAMANSOY, Erdal YILMAZ, Cavit ÇÖL
1 Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Bolu
Published: 2011 Pubmed: 99970 Article ID: 777
Abstract
OBJECTIVES

The patients who had Billroth II gastric resections according
to clinicopathological features of gastric stump cancer (GSC)
were evaluated.


METHODS

Seven cases of GSC treated between 1995 and 2005 years
were reviewed retrospectively.


RESULTS

In the study, there were 6 men and 1 woman enrolled and mean
age was 52.4±10.7 years. The time duration between Billroth-
II procedure and occurrence of GSC was 20.0±9.2 (6-31)
years. Five patients (71.4%) received a curative resection. Two
patients underwent a palliative resection because of peritoneal
seeding and lymph node conglomerates at the coeliac trunc.
Two patients who were classified stage IIIA performed curative
resection were disease free for 5 years.


CONCLUSION

It is necessary for the patients who received partial gastrectomy
to carry out the endoscopy follow-up, especially in patients
with Billroth II reconstruction procedure than 10 years.
Curative resection has to be the goal of surgical management
in patients with resectable GSC.

Keywords: Billroth II resections; gastric stump cancer

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