Gastric stump carcinoma after surgery for gastroduodenal ulcer.

In a series of 2473 patients on whom operations of various types were carried out for gastroduodenal ulcer 32 (1.3%) developed a gastric stump carcinoma after Polya gastrectomy. Analysis of these patients shows that: (1) in patients undergoing gastrectomy stump cancer may develop more than 10 years after the initial operation; (2) partial gastrectomy with gastrojejunostomy for duodenal ulcer is associated with the highest incidence of this complication; and (3) early diagnosis of the complication is of paramount importance for treatment and prognosis.