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Endoscopic screening during 17 years for gastric stump carcinoma. A prospective clinical trial.

https://arctichealth.org/en/permalink/ahliterature24713
Source
Scand J Gastroenterol. 1991 Oct;26(10):1020-6
Publication Type
Article
Date
Oct-1991
Author
C. Staël von Holstein
S. Eriksson
B. Huldt
E. Hammar
Author Affiliation
Dept. of Surgery, Lund University, Sweden.
Source
Scand J Gastroenterol. 1991 Oct;26(10):1020-6
Date
Oct-1991
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Carcinoma - diagnosis - mortality
Cohort Studies
Duodenal Neoplasms - surgery
Female
Gastrectomy
Gastroscopy
Humans
Male
Middle Aged
Prospective Studies
Research Support, Non-U.S. Gov't
Risk factors
Stomach Neoplasms - diagnosis - mortality
Stomach Ulcer - surgery
Sweden - epidemiology
Abstract
In an attempt to reduce mortality in gastric stump carcinoma a defined cohort of operated peptic ulcer patients was followed up with an endoscopic screening programme. From 1930 and through 1960, 1575 patients were operated on for peptic ulcer disease at the Dept. of Surgery in Lund, Sweden. Of 838 still alive in January 1973, 682 were selected for geographical reasons and were offered endoscopic screening with biopsy at regular intervals. Three hundred and fifty-four patients came to the first examination. The follow-up programme was individualized thereafter with screening at 1- to 3-year intervals, depending on endoscopic and histologic findings. The remaining patients have, since then, constituted a control group, followed up only through death certificates and the Swedish Cancer Registry. By December 1989, 202 patients in the screening group had died and 320 in the control group. During the 17 years of follow-up 12 patients in the screening group died of gastric cancer, compared with 14 in the control group, even though 17 cases of early gastric cancer were diagnosed and operated on in the first group, compared with only 2 in the latter. We conclude that regular endoscopic screening does not reduce gastric cancer mortality and can thus not be recommended in asymptomatic patients previously subjected to partial gastric resection due to peptic ulcer disease.
PubMed ID
1947767 View in PubMed
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[Surgical treatment of patients with cancer of the big papilla of the duodenum]

https://arctichealth.org/en/permalink/ahliterature17796
Source
Klin Khir. 2004 Jan;(1):15-7
Publication Type
Article
Date
Jan-2004
Author
V M Kapchak
O V Duvalko
K V Kopchak
H H Shevkolenko
A H Deinichenko
Source
Klin Khir. 2004 Jan;(1):15-7
Date
Jan-2004
Language
Ukrainian
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Digestive System Surgical Procedures - methods
Duodenal Neoplasms - surgery - ultrasonography
English Abstract
Female
Humans
Male
Middle Aged
Postoperative Complications - mortality
Abstract
Results of treatment in 114 patients with duodenal big papilla (DBP) tumor were adduced. Radical operations were performed in 63 patients, including in 27--pancreatoduodenal resection, in 36--local resection of DBP. Postoperative complications were occurred in 14% of patients. Postoperative lethality was 0.9%. Indexes of five-year survival were higher in patients, in which local resection of DBP was performed.
PubMed ID
15071990 View in PubMed
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