Gastric stump mucosa: is there a risk for carcinoma?
Autor(a) principal: | |
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Data de Publicação: | 2001 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de gastroenterologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032001000400004 |
Resumo: | Background - Patients who underwent partial gastric resections are at an increased risk for the development of cancer in the gastric remnant. Aim - To assess the long-term patients who underwent surgical treatment for peptic ulcer disease through endoscopic and pathologic evaluation of the gastric stump mucosal alterations. Patients and Methods - Between 1987 and 1990, 154 patients (mean = 20.4 years after gastrectomy) were evaluated by upper digestive endoscopy with multiple biopsies and pathological examination. Results - Endoscopic alterations were present in 111 patients (72.1%). The commonest pathologic alterations were foveolar hyperplasia, intestinal metaplasia and cystic dilation. Severe dysplasia was noted in two (1.25%) and carcinoma in 13 (8.4%) of the cases. In four patients (3.8%) the endoscopic findings did not show any evidence of tumors, however they were detected due to multiple biopsies and histologic studies. Conclusions - Surveillance of these patients with endoscopy and multiple biopsies may provide the means to diagnose tumors at an early stage, but the cost benefit ratio of surveillance requires further study. |
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Gastric stump mucosa: is there a risk for carcinoma?GastrectomyStomach neoplasms/diagnosisGastric stumpPeptic ulcersurgeryBackground - Patients who underwent partial gastric resections are at an increased risk for the development of cancer in the gastric remnant. Aim - To assess the long-term patients who underwent surgical treatment for peptic ulcer disease through endoscopic and pathologic evaluation of the gastric stump mucosal alterations. Patients and Methods - Between 1987 and 1990, 154 patients (mean = 20.4 years after gastrectomy) were evaluated by upper digestive endoscopy with multiple biopsies and pathological examination. Results - Endoscopic alterations were present in 111 patients (72.1%). The commonest pathologic alterations were foveolar hyperplasia, intestinal metaplasia and cystic dilation. Severe dysplasia was noted in two (1.25%) and carcinoma in 13 (8.4%) of the cases. In four patients (3.8%) the endoscopic findings did not show any evidence of tumors, however they were detected due to multiple biopsies and histologic studies. Conclusions - Surveillance of these patients with endoscopy and multiple biopsies may provide the means to diagnose tumors at an early stage, but the cost benefit ratio of surveillance requires further study.Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. 2001-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032001000400004Arquivos de Gastroenterologia v.38 n.4 2001reponame:Arquivos de gastroenterologia (Online)instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiainstacron:IBEPEGE10.1590/S0004-28032001000400004info:eu-repo/semantics/openAccessSAFATLE-RIBEIRO,Adriana VazRIBEIRO Jr.,UlyssesSAKAI,PauloIRIYA,KyoshiISHIOKA,ShinichiGAMA-RODRIGUES,Joaquimeng2003-02-06T00:00:00Zoai:scielo:S0004-28032001000400004Revistahttp://www.scielo.br/aghttps://old.scielo.br/oai/scielo-oai.php||secretariaarqgastr@hospitaligesp.com.br1678-42190004-2803opendoar:2003-02-06T00:00Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiafalse |
dc.title.none.fl_str_mv |
Gastric stump mucosa: is there a risk for carcinoma? |
title |
Gastric stump mucosa: is there a risk for carcinoma? |
spellingShingle |
Gastric stump mucosa: is there a risk for carcinoma? SAFATLE-RIBEIRO,Adriana Vaz Gastrectomy Stomach neoplasms/diagnosis Gastric stump Peptic ulcer surgery |
title_short |
Gastric stump mucosa: is there a risk for carcinoma? |
title_full |
Gastric stump mucosa: is there a risk for carcinoma? |
title_fullStr |
Gastric stump mucosa: is there a risk for carcinoma? |
title_full_unstemmed |
Gastric stump mucosa: is there a risk for carcinoma? |
title_sort |
Gastric stump mucosa: is there a risk for carcinoma? |
author |
SAFATLE-RIBEIRO,Adriana Vaz |
author_facet |
SAFATLE-RIBEIRO,Adriana Vaz RIBEIRO Jr.,Ulysses SAKAI,Paulo IRIYA,Kyoshi ISHIOKA,Shinichi GAMA-RODRIGUES,Joaquim |
author_role |
author |
author2 |
RIBEIRO Jr.,Ulysses SAKAI,Paulo IRIYA,Kyoshi ISHIOKA,Shinichi GAMA-RODRIGUES,Joaquim |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
SAFATLE-RIBEIRO,Adriana Vaz RIBEIRO Jr.,Ulysses SAKAI,Paulo IRIYA,Kyoshi ISHIOKA,Shinichi GAMA-RODRIGUES,Joaquim |
dc.subject.por.fl_str_mv |
Gastrectomy Stomach neoplasms/diagnosis Gastric stump Peptic ulcer surgery |
topic |
Gastrectomy Stomach neoplasms/diagnosis Gastric stump Peptic ulcer surgery |
description |
Background - Patients who underwent partial gastric resections are at an increased risk for the development of cancer in the gastric remnant. Aim - To assess the long-term patients who underwent surgical treatment for peptic ulcer disease through endoscopic and pathologic evaluation of the gastric stump mucosal alterations. Patients and Methods - Between 1987 and 1990, 154 patients (mean = 20.4 years after gastrectomy) were evaluated by upper digestive endoscopy with multiple biopsies and pathological examination. Results - Endoscopic alterations were present in 111 patients (72.1%). The commonest pathologic alterations were foveolar hyperplasia, intestinal metaplasia and cystic dilation. Severe dysplasia was noted in two (1.25%) and carcinoma in 13 (8.4%) of the cases. In four patients (3.8%) the endoscopic findings did not show any evidence of tumors, however they were detected due to multiple biopsies and histologic studies. Conclusions - Surveillance of these patients with endoscopy and multiple biopsies may provide the means to diagnose tumors at an early stage, but the cost benefit ratio of surveillance requires further study. |
publishDate |
2001 |
dc.date.none.fl_str_mv |
2001-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032001000400004 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032001000400004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-28032001000400004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. |
publisher.none.fl_str_mv |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. |
dc.source.none.fl_str_mv |
Arquivos de Gastroenterologia v.38 n.4 2001 reponame:Arquivos de gastroenterologia (Online) instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia instacron:IBEPEGE |
instname_str |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia |
instacron_str |
IBEPEGE |
institution |
IBEPEGE |
reponame_str |
Arquivos de gastroenterologia (Online) |
collection |
Arquivos de gastroenterologia (Online) |
repository.name.fl_str_mv |
Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia |
repository.mail.fl_str_mv |
||secretariaarqgastr@hospitaligesp.com.br |
_version_ |
1754193342208409600 |