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CARCINOMA OF THE STOMACH FOLLOWING GASTROENTEROSTOMY FOR PEPTIC ULCER

CARCINOMA OF THE STOMACH FOLLOWING GASTROENTEROSTOMY FOR PEPTIC ULCER Abstract The development of carcinoma of the stomach after a gastrojejunal anastomosis for chronic peptic ulcer is, on the whole, unusual. Its occurrence has been observed chiefly in certain cases of gastric ulcer for which gastro-enterostomy had been performed when, because of the great size, inaccessible location or extensive fixation of the lesion, its removal would have been an excessively difficult and hazardous undertaking. It is the consensus of most present-day writers in considering the life history of gastric ulcer that approximately 5 per cent of these benign ulcers will ultimately undergo malignant degeneration if they are not healable when treated by dietary or other nonsurgical measures. It therefore seems reasonable to assume that, likewise, gastric ulcers which fail to heal after an indirect type of operation, such as gastroenterostomy, should show similar tendencies. Jean Varnier1 estimated that carcinoma will ultimately develop in from 2 to 5 per cent of References 1. Varnier, Jean: Le cancer de l'estomac chez les ulcéreux gastriques opérés par gastro-entérostomie , Paris méd. 2:93 ( (July 29) ) 1933. 2. Balfour, Donald C.: Results of Gastro-Enterostomy for Ulcer of the Duodenum and Stomach , Ann. Surg. 92:558 ( (Oct.) ) 1930.Crossref 3. Horsley, J. Shelton, and Horsley, John S., Jr.: Surgical Diseases of the Stomach , in Graham, E. A.: Surgical Diagnosis , Philadelphia, W. B. Saunders Company, 1930, vol. 2, p. 553. 4. Wolfsohn, Georg: Ueber Magenkarzinom nach Gastroenterostomien wegen Ulkus , Deutsche med. Wchnschr. 54:1079 ( (June 29) ) 1928.Crossref 5. Singer, Harry A.: Carcinoma of the Gastrojejunal Stoma Following Operation for Peptic Ulcer , Arch. Int. Med. 49:429 ( (March) ) 1932.Crossref 6. Schwarz, in discussion on Lengemann: Operationsbefunde an Gastroenterostomierten , Zentralbl. f. Chir. 53:3000 ( (Nov. 20) ) 1926. 7. Hurst, A. F., and Stewart, M. J.: Gastric and Duodenal Ulcer , New York, Oxford University Press, 1929, p. 429. 8. Eichelter, G.: Spontanperforation des paralytisch erweiterten Duodenalschenkels 4 Jahre nach subtotaler Magenresektion wegen ulcus (Primäres Karzinom an der Anastomosenstelle) , Deutsche Ztschr. f. Chir. 222:106, 1930.Crossref 9. Beatson, George T.: Carcinoma of the Stomach After Gastrojejunostomy , Brit. M. J. 1:15 ( (Jan. 2) ) 1926.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

CARCINOMA OF THE STOMACH FOLLOWING GASTROENTEROSTOMY FOR PEPTIC ULCER

Archives of Surgery , Volume 32 (4) – Apr 1, 1936

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Publisher
American Medical Association
Copyright
Copyright © 1936 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1936.01180220105006
Publisher site
See Article on Publisher Site

Abstract

Abstract The development of carcinoma of the stomach after a gastrojejunal anastomosis for chronic peptic ulcer is, on the whole, unusual. Its occurrence has been observed chiefly in certain cases of gastric ulcer for which gastro-enterostomy had been performed when, because of the great size, inaccessible location or extensive fixation of the lesion, its removal would have been an excessively difficult and hazardous undertaking. It is the consensus of most present-day writers in considering the life history of gastric ulcer that approximately 5 per cent of these benign ulcers will ultimately undergo malignant degeneration if they are not healable when treated by dietary or other nonsurgical measures. It therefore seems reasonable to assume that, likewise, gastric ulcers which fail to heal after an indirect type of operation, such as gastroenterostomy, should show similar tendencies. Jean Varnier1 estimated that carcinoma will ultimately develop in from 2 to 5 per cent of References 1. Varnier, Jean: Le cancer de l'estomac chez les ulcéreux gastriques opérés par gastro-entérostomie , Paris méd. 2:93 ( (July 29) ) 1933. 2. Balfour, Donald C.: Results of Gastro-Enterostomy for Ulcer of the Duodenum and Stomach , Ann. Surg. 92:558 ( (Oct.) ) 1930.Crossref 3. Horsley, J. Shelton, and Horsley, John S., Jr.: Surgical Diseases of the Stomach , in Graham, E. A.: Surgical Diagnosis , Philadelphia, W. B. Saunders Company, 1930, vol. 2, p. 553. 4. Wolfsohn, Georg: Ueber Magenkarzinom nach Gastroenterostomien wegen Ulkus , Deutsche med. Wchnschr. 54:1079 ( (June 29) ) 1928.Crossref 5. Singer, Harry A.: Carcinoma of the Gastrojejunal Stoma Following Operation for Peptic Ulcer , Arch. Int. Med. 49:429 ( (March) ) 1932.Crossref 6. Schwarz, in discussion on Lengemann: Operationsbefunde an Gastroenterostomierten , Zentralbl. f. Chir. 53:3000 ( (Nov. 20) ) 1926. 7. Hurst, A. F., and Stewart, M. J.: Gastric and Duodenal Ulcer , New York, Oxford University Press, 1929, p. 429. 8. Eichelter, G.: Spontanperforation des paralytisch erweiterten Duodenalschenkels 4 Jahre nach subtotaler Magenresektion wegen ulcus (Primäres Karzinom an der Anastomosenstelle) , Deutsche Ztschr. f. Chir. 222:106, 1930.Crossref 9. Beatson, George T.: Carcinoma of the Stomach After Gastrojejunostomy , Brit. M. J. 1:15 ( (Jan. 2) ) 1926.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1936

References