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Endoscopic Diagnosis of Gastric Cancer in the Remnant Stomach M. Tatsuta 1 , S. Okuda 1 , H. Taniguchi 2 1Department of Gastroenterology, The Center for Adult Diseases 2Departrrzent of Pathology, The Center for Adult Diseases pp.1353-1358
Published Date 1982/12/25
DOI https://doi.org/10.11477/mf.1403108647
  • Abstract
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 In our clinic, 19 gastric cancers were found in the remnant stomach of 17 patients after gastrectomy for gastric cancer. Grossly, these cancers were chiefly polypoid and histologically differentiated adenocarcinoma. A correct diagnosis was made before operation in all patients except two cases: in these two cases gastrofiberscope could not be inserted because they were associated with esophageal stenosis. Moreover, in three cases a correct diagnosis was not provided at the first endoscopic examination. In the two cases, the endoscopic diagnosis was either a benign gastric ulcer or a lesion near the cardiac orifice that was entirely missed. In the remaining one case, results of the biopsy was normal in contrast to visual diagnosis. A small caliber, forward-viewing fiberscope with short bending section was highly effective inside the limited space of the cavity of the resected stomach. Retroflexion by a side-viewing fiberscopes in the resected stomach was often difficult. For early detection of gastric cancers in the resected stomach, the patients must be followed-up by a periodic endoscopic examination after gastrectomy. The Congo red-methylene blue test developed in our clinic was also useful for early diagnosis of gastric cancer in the resected stomach. In this test, gastric cancers could be observed as White areas where the Congo red and methylene blue were bleached.


Copyright © 1982, 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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