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. 1979 Feb;32(2):179–186. doi: 10.1136/jcp.32.2.179

Histological appearances of the gastric mucosa 15--27 years after partial gastrectomy.

A Savage, S Jones
PMCID: PMC1145606  PMID: 438347

Abstract

Sixty-three patients, who had had a partial gastrectomy 15--27 years previously, were examined by endoscopy and multiple mucosal biopsies. No patient had a completely normal gastric mucosa; they showed varying degrees of gastritis, intestinal metaplasia, and dysplasia: 21% had significant dysplasia, and these are regarded as an 'at-risk' group requiring frequent follow-up examinations. One patient had severe dysplasia (carcinoma-in-situ), but no case of infiltrating carcinoma was found.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Domellöf L., Eriksson S., Helander H. F., Janunger K. G. Lipid islands in the gastric mucosa after resection for benign ulcer disease. Gastroenterology. 1977 Jan;72(1):14–18. [PubMed] [Google Scholar]
  2. Domellöf L., Eriksson S., Janunger K. G. Carcinoma and possible precancerous changes of the gastric stump after billroth II resection. Gastroenterology. 1977 Sep;73(3):462–468. [PubMed] [Google Scholar]
  3. Domellöf L., Eriksson S., Janunger K. G. Late precancerous changes and carcinoma of the gastric stump after Billroth I resection. Am J Surg. 1976 Jul;132(1):26–31. doi: 10.1016/0002-9610(76)90284-1. [DOI] [PubMed] [Google Scholar]
  4. HELSINGEN N., HILLESTAD L. Cancer development in the gastric stump after partial gastrectomy for ulcer. Ann Surg. 1956 Feb;143(2):173–179. doi: 10.1097/00000658-195614320-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. KRAUSE U. Late prognosis after partial gastrectomy for ulcer; a follow-up study of 361 patients operated upon from 1905 to 1933. Acta Chir Scand. 1958 Apr 15;114(5):341–354. [PubMed] [Google Scholar]
  6. LIAVAAG K. Cancer development in gastric stump after partial gastrectomy for peptic ulcer. Ann Surg. 1962 Jan;155:103–106. doi: 10.1097/00000658-196201000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Lambert R. Chronic gastritis. A critical study of the progressive atrophy of the gastric mucosa. Digestion. 1972;7(1):83–126. doi: 10.1159/000197264. [DOI] [PubMed] [Google Scholar]
  8. MING S. C., GOLDMAN H. GASTRIC POLYPS; A HISTOGENETIC CLASSIFICATION AND ITS RELATION TO CARCINOMA. Cancer. 1965 Jun;18:721–726. doi: 10.1002/1097-0142(196506)18:6<721::aid-cncr2820180609>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]
  9. MORSON B. C. Carcinoma arising from areas of intestinal metaplasia in the gastric mucosa. Br J Cancer. 1955 Sep;9(3):377–385. doi: 10.1038/bjc.1955.36. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. MORSON B. C. Intestinal metaplasia of the gastric mucosa. Br J Cancer. 1955 Sep;9(3):365–376. doi: 10.1038/bjc.1955.35. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Morgenstern L., Yamakawa T., Seltzer D. Carcinoma of the gastric stump. Am J Surg. 1973 Jan;125(1):29–38. doi: 10.1016/0002-9610(73)90005-6. [DOI] [PubMed] [Google Scholar]
  12. Nagayo T. Histology and histogenesis of early gastric carcinomas with flat mucosal elevations. Acta Pathol Jpn. 1974 Mar;24(2):249–272. doi: 10.1111/j.1440-1827.1974.tb00821.x. [DOI] [PubMed] [Google Scholar]
  13. Reynolds K. W., Johnson A. G., Fox B. Is intestinal metaplasia of the gastric mucosa a pre-malignant lesion? Clin Oncol. 1975 Jun;1(2):101–109. [PubMed] [Google Scholar]
  14. Saegesser F., Jämes D. Cancer of the gastric stump after partial gastrectomy (Billroth II principle) for ulcer. Cancer. 1972 May;29(5):1150–1159. doi: 10.1002/1097-0142(197205)29:5<1150::aid-cncr2820290505>3.0.co;2-5. [DOI] [PubMed] [Google Scholar]
  15. Schrumpf E., Serck-Hanssen A., Stadaas J., Aune S., Myren J., Osnes M. Mucosal changes in the gastric stump 20-25 years after partial gastrectomy. Lancet. 1977 Sep 3;2(8036):467–469. doi: 10.1016/s0140-6736(77)91599-9. [DOI] [PubMed] [Google Scholar]
  16. Siurala M., Isokoski M., Varis K., Kekki M. Prevalence of gastritis in a rural population. Bioptic study of subjects selected at random. Scand J Gastroenterol. 1968;3(2):211–223. doi: 10.3109/00365526809180125. [DOI] [PubMed] [Google Scholar]
  17. Siurala M., Lehtola J., Ihamäki T. Atrophic gastritis and its sequelae. Results of 19-23 years' follow-up examinations. Scand J Gastroenterol. 1974;9(5):441–446. [PubMed] [Google Scholar]
  18. Stalsberg H., Taksdal S. Stomach cancer following gastric surgery for benign conditions. Lancet. 1971 Nov 27;2(7735):1175–1177. doi: 10.1016/s0140-6736(71)90489-2. [DOI] [PubMed] [Google Scholar]

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