Japanese

Roentogen Diagnosis of Early Carcinoma of the Postoperative Stomach Previous Gastrectomy for Carcinoma Tsutomu Hamada 1 , Kenji Kondo 1 , Yumiko Hojo 1 , Shigehiro Kitamura 2 , Keiji Okuda 3 1Department of Gastroenterology, Social Health Insurance Medical Center 2Department of Pathology, Social Health Insurance Medical Center 3Department of Radiology, Social Health Insurance Medical Center Keyword: 残胃癌 , X線診断 , 早期胃癌 pp.1021-1030
Published Date 2004/6/25
DOI https://doi.org/10.11477/mf.1403100523
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 40cases of carcinoma(17unresectable advanced cancers,13resectable advanced cancers,10early cancers)of the gastric remnant previous to gastrectomy for cancer were investigated. Most advanced carcinomas detected within5years after operation are situated in the anastomosis and suture, which suggests that they have been missed at the initial operation. On the other hand early cancers were discovered in the remnant so it was considered that cancer might easily occur in the remnant. It is necessary for radiologists to recognize that the upper third of the normal stomach is considered to correspond very closely to the postoperative stomach and to take pictures of the gastric remnant, the area if suture and the area of anastomosis.

 We investigated many figures of the cases and confirmed that the double contrast method is best suited for detecting early carcinoma of the gastric remnant. However, the frontal and lateral double contrast view of the region of the suture and anastomosis is also of great help for making a diagnosis of carcinomas in this region.

 1) Department of Gastroenterology, Social Health Insurance Medical Center, Tokyo

 2) Department of Pathology, Social Health Insurance Medical Center, Tokyo

 3) Department of Radiology, Social Health Insurance Medical Center, Tokyo


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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