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. 1988 Nov;29(11):1588–1590. doi: 10.1136/gut.29.11.1588

Mortality caused by stomach cancer after remote partial gastrectomy for benign conditions: 40 years of follow up of an Amsterdam cohort of 2633 postgastrectomy patients.

G J Offerhaus 1, A C Tersmette 1, K Huibregtse 1, J van de Stadt 1, K W Tersmette 1, T Stijnen 1, P J Hoedemaeker 1, J P Vandenbroucke 1, G N Tytgat 1
PMCID: PMC1433828  PMID: 3209117

Abstract

Mortality caused by stomach cancer was analysed in a cohort of 2633 postgastrectomy patients who underwent surgery for benign conditions in the academic medical centre of the University of Amsterdam between 1931-1960. In comparison with mortality from gastric cancer in the general Dutch population, the observed versus expected ratio in the postgastrectomy group was significantly increased among women, after a postoperative latency of more than 15 years (O/E: 4.77; p = 0.011) and among men after a postoperative latency of more than 25 years (O/E: 3.13; p = 0.005). The analysis confirms that the discrepancies in risk appraisal which seem to exist between reports published in Europe and the USA may be explained by the differences in length of follow up in these studies.

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Selected References

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

  1. Bundred N. J., Whitfield B. C., Stanton E., Prescott R. J., Davies G. C., Kingsnorth A. N. Gastric surgery and the risk of subsequent colorectal cancer. Br J Surg. 1985 Aug;72(8):618–619. doi: 10.1002/bjs.1800720811. [DOI] [PubMed] [Google Scholar]
  2. Carter D. C. Cancer after peptic ulcer surgery. Gut. 1987 Aug;28(8):921–923. doi: 10.1136/gut.28.8.921. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Caygill C. P., Hill M. J., Hall C. N., Kirkham J. S., Northfield T. C. Increased risk of cancer at multiple sites after gastric surgery for peptic ulcer. Gut. 1987 Aug;28(8):924–928. doi: 10.1136/gut.28.8.924. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Caygill C. P., Hill M. J., Kirkham J. S., Northfield T. C. Mortality from gastric cancer following gastric surgery for peptic ulcer. Lancet. 1986 Apr 26;1(8487):929–931. doi: 10.1016/s0140-6736(86)91041-x. [DOI] [PubMed] [Google Scholar]
  5. Coleman M., Douglas A., Hermon C., Peto J. Cohort study analysis with a FORTRAN computer program. Int J Epidemiol. 1986 Mar;15(1):134–137. doi: 10.1093/ije/15.1.134. [DOI] [PubMed] [Google Scholar]
  6. 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]
  7. Hayes R. B., Swaen G. M., Ramioul L., Tuyns A. J. Stomach cancer mortality: geographic comparisons in the Netherlands and in Belgium. Eur J Cancer Clin Oncol. 1982 Jul;18(7):623–627. doi: 10.1016/0277-5379(82)90207-3. [DOI] [PubMed] [Google Scholar]
  8. Logan R. F., Langman M. J. Screening for gastric cancer after gastric surgery. Lancet. 1983 Sep 17;2(8351):667–670. doi: 10.1016/s0140-6736(83)92541-2. [DOI] [PubMed] [Google Scholar]
  9. Offerhaus G. J., Giardiello F. M., Moore G. W., Tersmette A. C. Partial gastrectomy: a risk factor for carcinoma of the pancreas? Hum Pathol. 1987 Mar;18(3):285–288. doi: 10.1016/s0046-8177(87)80011-4. [DOI] [PubMed] [Google Scholar]
  10. Offerhaus G. J., Huibregtse K., de Boer J., Verhoeven T., van Olffen G. H., van de Stadt J., Tytgat G. N. The operated stomach: a premalignant condition? A prospective endoscopic follow-up study. Scand J Gastroenterol. 1984 Jun;19(4):521–524. [PubMed] [Google Scholar]
  11. Offerhaus G. J., Stadt J., Huibregtse K., Tytgat G. Endoscopic screening for malignancy in the gastric remnant: the clinical significance of dysplasia in gastric mucosa. J Clin Pathol. 1984 Jul;37(7):748–754. doi: 10.1136/jcp.37.7.748. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Ross A. H., Smith M. A., Anderson J. R., Small W. P. Late mortality after surgery for peptic ulcer. N Engl J Med. 1982 Aug 26;307(9):519–522. doi: 10.1056/NEJM198208263070902. [DOI] [PubMed] [Google Scholar]
  13. Schafer L. W., Larson D. E., Melton L. J., 3rd, Higgins J. A., Ilstrup D. M. The risk of gastric carcinoma after surgical treatment for benign ulcer disease. A population-based study in Olmsted County, Minnesota. N Engl J Med. 1983 Nov 17;309(20):1210–1213. doi: 10.1056/NEJM198311173092003. [DOI] [PubMed] [Google Scholar]
  14. 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]
  15. Viste A., Bjørnestad E., Opheim P., Skarstein A., Thunold J., Hartveit F., Eide G. E., Eide T. J., Søreide O. Risk of carcinoma following gastric operations for benign disease. A historical cohort study of 3470 patients. Lancet. 1986 Aug 30;2(8505):502–505. doi: 10.1016/s0140-6736(86)90368-5. [DOI] [PubMed] [Google Scholar]

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