Abstract
In the more than 100-year history of gastric surgery, an enormous number of clinical and experimental studies laid the groundwork for the effective surgical treatment of ulcers in practice today. Despite this, all surgical procedures continue to have undesirable side effects. These may take the form of early and late complications with a considerable number of symptoms and signs; they may cause general insufficiencies; or they may bring about slowly progressing chronic changes in gastric morphology. While the results of gastric surgery and the early consequences of ulcer surgery remain clear to the individual surgeon and gastroenterologist, no one reckoned with the most dangerous and insidious late complication associated with the latter — carcinoma in the operated stomach. This tumor develops only after an average postoperative interval of 25 years and therefore easily eludes individual detection.1
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Heger RA, Langhans P, Hohenstein J: Risikoeinschätzung von Spätkomplikationen in der Ulkuschirurgie, in Bünte H, Langhans P (eds): 100 Jahre Ulkus-Chirurgie. Munich-Vienna-Baltimore, Urban & Schwarzenberg, 1982, p. 282.
Langhans P, Heger RA, Hohenstein J, et al: Das Operationsfolgekarzinom des Magens—eine experimentelle Studie. Therapiewoche 1980; 30: 8475.
Langhans P: Die Roux-Schlinge in der Ulkuschirurgie, in Bünte H, Grill W, Langhans P, et al (eds): Die Roux-Schlinge, Indikationen, Techniken und Resultate. Edition Medizin. Deerfield Beach-Basel, Weinheim, 1984, p. 151.
Schlag P, Meister H, Feyerabend G, et al: Der Einfluss des duodenogastrischen Refluxes auf das Epithel an der gastroenteralen Anastomose. Langenbecks Arch Klin Chir 1977; 344: 207.
Schlag P, Böckler R, Ulrich H, et al: Are nitrite and N-nitroso compounds in gastric juice risk factors for carcinoma in the operated stomach? Lancet 1980; 1: 727.
Langhans P, Heger RA, Stegemann B: The cancer risk in the stomach subjected to nonresecting procedure—an experimental long-term study. Scand J Gastroenterol 1984; 19 (suppl 92): 138.
Domellöf L, Janunger KG: The risk for gastric carcinoma after partial gastrectomy. Amer J Surg 1977; 134: 581.
Langhans P: Das Krebsrisiko des operierten Magens - eine Standortbestimmung, in Häring R: Therapie des Magenkarzinoms. Edition Medizin. Deerfield Beach-Basel, Weinheim, 1984, p. 31.
Laurén P: The two histological main types of gastric carcinoma: diffuse and so-called intestinal-type carcinoma. Acta Path Microbiol Scand 1965; 64: 31.
Langhans P, Schönleben K, Bünte H: The routine use of Roux-en -Y anastomosis in gastric surgery. Scand J Gastroenterol 1981; 16 (suppl 67): 247.
Roux C: De la gastroenterostomie. Etude, basée sur les opérations pratiqués du 21. Juin 1888 au 1 Septembre 1896. Rev Gynecol Chir Abdominale 1897; 1: 67.
Langhans P, Bues M, Heger RA: When is a corrective procedure indicated for the operated stomach? Scand J Gastroenterol 1984; 19 (suppl 92): 235.
Langhans P, Böttcher K, Bünte H: Das Krebsproblem des operierten Magens — Präkanzerosen als Indikation zum Korrektureingriff, in Bünte H, Langhans P, Meyer HJ, et al (eds): Aktuelle Therapie des Magenkarzinoms. Berlin-Heidelberg-New York, Springer, 1985, p. 143.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Springer-Verlag New York, Inc.
About this paper
Cite this paper
Langhans, P., Heidl, G. (1989). The Surgical Treatment of Carcinoma in the Operated Stomach. In: Hotz, J., Meyer, HJ., Schmoll, HJ. (eds) Gastric Carcinoma. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3636-8_8
Download citation
DOI: https://doi.org/10.1007/978-1-4612-3636-8_8
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-96955-8
Online ISBN: 978-1-4612-3636-8
eBook Packages: Springer Book Archive