Related Experiment Videos
Gastric linitis plastica is not a surgical disease
1Department of Surgery, Loyola Stritch School of Medicine, Maywood, Ill.
Surgery
|October 1, 1989
Summary
Linitis plastica, a type of gastric cancer, showed similar survival rates between resection and non-resection groups. Total gastrectomy is recommended only for disease limited to the stomach or regional lymph nodes.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Linitis plastica is a rare and aggressive form of gastric cancer.
- Treatment strategies for linitis plastica vary, impacting patient outcomes.
Purpose of the Study:
- To evaluate the survival outcomes of patients with linitis plastica treated with different surgical approaches.
- To determine the optimal surgical strategy for linitis plastica based on disease extent.
Main Methods:
- Retrospective analysis of 26 patients with linitis plastica over a 10-year period.
- Patients were divided into non-resection and resection groups.
- Surgical interventions ranged from biopsy to total gastrectomy with extended resections.
Main Results:
- Mean survival for the non-resection group was 6.6 months, and for the resection group was 7.2 months.
- Patients undergoing total gastrectomy with metastatic or locally advanced disease survived approximately 4 months.
- Patients with disease limited to the stomach and regional lymph nodes who underwent total gastrectomy survived 13.6 months.
Conclusions:
- Total gastrectomy for linitis plastica is most beneficial when the disease is confined to the stomach and regional lymph nodes.
- For patients with more advanced disease, alternative treatments like chemotherapy and radiation therapy should be considered.