GASTRIC STUMP CANCER AFTER GASTRECTOMY BY GASTRODUODENAL PEPTIC ULCER

INTRODUCTION

Gastric stump cancer was first reported as a disease entity by Balfour in 1922^1,6. It was defined initially as cancer that arises in the remnant stomach after five years of gastrectomy for benign disease such as peptic ulcer^1,6,8. Another opinion includes ten-year latency period after primary operation for benign or malignant disease. Cancer recurrence in the stump after ten years of gastrectomy is rare⁹.

The anatomical region most commonly affected is next to the anastomosis, gastric side. With a prevalence of 1-9% among cases of stomach cancer, it affects between 0.8-8.9% of patients who underwent partial gastric resection for peptic ulcer¹.

Reduction in the prevalence of peptic ulcer gastrectomy is reported^4,8,10 due to therapeutic advances, among them drug treatment by Helicobacter pylori infection^8,10. However, surgery continues to be performed for the complications of peptic ulcer disease, such as perforation, bleeding or stenosis⁸.

In this article, the authors report two cases of gastric stump cancer after Billroth II gastrectomy for peptic ulcer disease.