[Carcinoma of the gastric stump]

The authors present a group of seven patients operated in 1992 to 1996 on account of carcinoma of the gastric stump. All patients had a Billroth II resection at the age of 52 to 77 years. The mean period after resection was 21.3 years. In three patients total gastrectomy was made, in three patients subtotal resection and only in one patient a palliative anastomosis. The mortality within 30 days was 0%. The survival period was not evaluated as the data were incomplete. In the discussion the authors mention factors pertaining to the predisposition and pathogenetic mechanisms of development of the disease. For prevention gastroenterological dispensarization is necessary and preference of a gastroenteroanastomosis with a minimal alkaline reflux (Roux-Y, Eiselberg a anastomosis).