Literature DB >> 1827091

Geographical variance in the risk of gastric stump cancer: no increased risk in Japan?

A C Tersmette1, F M Giardiello, G J Offerhaus, K W Tersmette, K Ohara, J P Vandenbroucke, G N Tytgat.   

Abstract

Geographical differences may exist in the risk of gastric stump cancer. Therefore, we performed meta-analysis of literature reports in Japan (n = 3), the USA (n = 4), and Europe (n = 20) on the risk of postgastrectomy cancer. The weighted mean relative risk of stump cancer in Japan was 0.28, 95% confidence limits 0.21-0.38 as compared to 1.53, 95% confidence limits 0.98-2.41 in the USA and 1.66, 95% confidence limits 1.55-1.79 in Europe. Thus, the risk of gastric cancer in the post-gastrectomy patient seems decreased in Japan and is significantly less than in the USA or Europe, where an increased risk exists. Since there is a high risk of gastric cancer of the intact stomach in Japan, the discovery of a low cancer risk in the gastric stump may provide evidence that these gastric cancers are two different entities.

Entities:  

Mesh：

Year:  1991        PMID： 1827091      PMCID： PMC5918404          DOI： 10.1111/j.1349-7006.1991.tb01841.x

Source DB:  PubMed          Journal:  Jpn J Cancer Res        ISSN： 0910-5050


odds ratio relative risk confidence limits logarithm standard error
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Journal:  Int J Cancer       Date:  1988-09-15       Impact factor: 7.396

8.  Gastric carcinogenesis induced by N-methyl-N'-nitro-N-nitrosoguanidine: role of gastrectomy and duodenal reflux.

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Journal:  Gastrointest Endosc       Date:  1986-04       Impact factor: 9.427

10.  Mortality caused by stomach cancer after remote partial gastrectomy for benign conditions: 40 years of follow up of an Amsterdam cohort of 2633 postgastrectomy patients.

Authors:  G J Offerhaus; A C Tersmette; K Huibregtse; J van de Stadt; K W Tersmette; T Stijnen; P J Hoedemaeker; J P Vandenbroucke; G N Tytgat
Journal:  Gut       Date:  1988-11       Impact factor: 23.059
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Review 1.  Controversy surrounding 'mini' gastric bypass.

Authors:  Kamal K Mahawar; William R J Carr; Shlok Balupuri; Peter K Small
Journal:  Obes Surg       Date:  2014-02       Impact factor: 4.129
  1 in total

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