| [ Summary ] |
According to a review of the literature, clinicopathological features of early cancer of the gastric remnant are as follows；1) 47% of lesions were located at the stoma and the suture line, 2) elevated type lesions (67%) were detected more frequently than depressed type lesions (31%), 3) most of the lesions (79%) were differentiated adenocarcinoma histologically. On endoscopic examination of the remnant stomach, it is difficult to recognize mucosal abnormalities because of morphological changes, retention of food and reflux of duodenal juice. Therefore, endoscopic examination of the gastric remnant should be performed carefully under better conditions after adequate preparation and also in combination with the reverse technique. Furthermore, it is essential to differentiate malignant findings from gastritis cystica polyposa on the stoma and granulation or erosive change on the suture line. It should be stressed that annual follow-up endoscopic study is very important for early detection of carcinoma of the gastric remnant. |