Remnant gastric cancer is defined broadly as cancer that develops in the remnant stomach after the resection of nonmalignant or malignant lesions. Generally speaking, remnant gastric gastric cancer must be over 10 years in the previous malignant
or
nonmalignant lesions. From Aug. 1988. To Dec. 1995. Fifteen patients who were operated as remnant gastric cancer(broad definition) in Hanyang Universty Hospital was reviewed as follows. Sex distribution was 12 cases in male and 3 cases in female.
Peak
incidence of age was 5th and 6th decades. The T.N.M. staging was at first operation: benign disease in 6 cases, stage I in 4 cases, stage IIIa in 1 cases, stage IIIb in 2 cases and unknown stage in 2 cases, and at 2nd operation; stage I in 3
cases,
stage II in 1 case, stage IIIa in 2 cases, stage IIIb in 5 cases, stage IV in 4 cases. The interval between first and second operation was as follows: less than 5 yeas in 4 cases, 5 to 10 year in 2 cases, 10 to 15 years in 3 cases, and over 20
years in
6 cases. The procedure at first operation was Billroth II procedure, and the procedure at 2nd operation was as follows: total gastrojejunostomy with Roux-en-Y esophagojejunostomy in 12 cases, total gastrectomy with loop esophagojejunostomy in 2
cases,
dismentling partial gastrectomy with roux-en-Y gastrojejunostomy in 1 case. In our opinion, early diagnosis of remnant carcinoma following gastric surgery by the endoscopic follow up and aggresive surgery are important to improve disease free
interval
and patient survival.
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