Gastric malignancy: ten year experience at a community teaching hospital

A ten-year review of gastric malignancy was undertaken and several factors examined. The degree of organ involvement played a significant role in determination of survival. Surgical resection, either palliative or curative, was associated with a more favorable short-term survival and bypass alone appeared to add nothing to patient survival time. The general lack of symptoms in early gastric cancer appears to be a majority determinant of the advanced state of malignancy in these patients. Early screening may represent a partial solution to this dilemma.