Gastric stump carcinoma: a surgical challenge

Gastric stump carcinoma is a carcinoma arising in the stomach remnant following previous gastric resection. It is a distinct disease entity with its unique aetiology and pathogenesis. We report 3 cases of gastric stump carcinoma encountered in the department over the past 5 years and review current literature pertaining to its clinical presentation, aetiology, pathogenesis, treatment strategy and the role of screening endoscopy. The disease is characterised by its late presentation and dismal prognosis and will continue to pose a surgical challenge in the years to come.