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Updated: Apr 18, 2026

Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors

Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors

Published on: February 19, 2022

[Gastric stump cancer].

C Dolinescu¹, C Dragomir, C Pleşa

¹Institutul de medicină şi farmacie Iaşi, Clinica III-a chirurgicală.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi

|January 16, 2015

Summary

Gastric stump cancer risk increases with initial gastric lesions, not anastomosis type. Long-term patient surveillance after gastric resection is crucial for early detection and improved outcomes.

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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

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Published on: October 31, 2025

Area of Science:

Gastroenterology
Surgical Oncology
Oncology

Context:

Gastric stump cancer is a rare but serious complication following gastric surgery.
Analysis of 7 cases over 5 years at the III-rd Surgical Clinic of Iaoi.
Patients had prior resections for gastric or duodenal ulcers 17-40 years earlier.

Purpose:

To analyze the incidence, diagnosis, and outcomes of gastric stump cancer.
To identify risk factors and emphasize the importance of long-term surveillance.

Summary:

Seven cases of gastric stump cancer were reviewed, with initial resections for gastric or duodenal ulcers performed 17-40 years prior, all with Bilroth II anastomoses.
Diagnosis involved radiological, endoscopic, and endobioptic methods. Lesions occurred at the anastomosis or stump remnant.
Five cases were operable, with 4 successful resections, but one post-operative death occurred.

Impact:

The study highlights that gastric stump cancer occurrence is primarily associated with the initial lesion (gastric vs. duodenal ulcer).
Emphasizes the critical need for lifelong monitoring of patients who have undergone gastric resection.
Findings underscore the importance of vigilant follow-up to detect tumors early in the gastric remnant.