Primary carcinoma of the remnant stomach--report of three cases.

Among the 318 patients operated on for gastric carcinoma during the last six years in our department, three patients were operated on for carcinoma which developed in the remnant stomach 25, 22 and 12 years respectively after partial gastrectomy for peptic ulcers. Their surgical results were uniformly poor because of far advanced malignant lesions. Another patient who developed adenomatous polyps near the stoma 23 years after gastrectomy for duodenal ulcer was treated by polypectomy through gastrotomy. Both from our experiences and from review of literatures, it was concluded that patients gastrectomized for benign lesions should be followed up regularly ten or more years after the surgery, especially by gastroscopy, in order to detect remnant stomach carcinoma as early as possible. And any physicians should always be aware of this disease and should not attribute any late appearing abdominal complaints to gastrectomy itself.