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Pathology of the Gastrointestinal Tract pp 281–284Cite as

Gastric Stump

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Part of the book series: Encyclopedia of Pathology ((EP))

Synonyms

Gastric remnant; Gastroenterostoma

Definition

The gastric stump is defined as the part of the stomach that remains after partial resection. The gastroenterostomy area, either gastroduodenostomy (after Billroth-I) or gastrojejunostomy (after Billroth-II surgery), is important since there is an increased risk of developing (pre-)neoplastic conditions after remote partial gastrectomy. Gastric stump carcinoma or gastric remnant cancer is defined as a gastric carcinoma occurring in the gastric remnant at least 5 years after surgery for benign peptic ulcer disease. Many studies have confirmed the increased risk of developing gastric cancer in the gastric stump. Sometimes the term “gastric stump carcinoma” is used more broadly to refer to all cancers arising in the remnant stomach after partial gastrectomy, regardless of the initial disease or operation, and includes local recurrence in the gastric stump after prior partial gastrectomy for gastric cancer. In the latter, it seems...

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References and Further Reading

  • MacDonald, W. C., & Owen, D. A. (2001). Gastric carcinoma after surgical treatment of peptic ulcer: An analysis of morphologic features and a comparison with cancer in the nonoperated stomach. Cancer, 91(9), 1732–1738.

    CAS  PubMed  Google Scholar 

  • Offerhaus, G. J., van de Stadt, J., Huibregtse, K., Tersmette, A. C., & Tytgat, G. N. (1989). The mucosa of the gastric remnant harboring malignancy. Histologic findings in the biopsy specimens of 504 asymptomatic patients 15 to 46 years after partial gastrectomy with emphasis on nonmalignant lesions. Cancer, 64(3), 698–703.

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  • Sinning, C., Schaefer, N., Standop, J., Hirner, A., & Wolff, M. (2007). Gastric stump carcinoma – epidemiology and current concepts in pathogenesis and treatment. European Journal of Surgical Oncology, 33(2), 133–139.

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  • Sitarz, R., Maciejewski, R., Polkowski, W. P., & Offerhaus, G. J. (2012). Gastroenterostoma after Billroth antrectomy as a premalignant condition. World Journal of Gastroenterology, 18(25), 3201–3206.

    PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Pathology, Radboud University Medical Center, 9101, 6500 HB, Nijmegen, The Netherlands

    Chella R. S. van der Post

  2. Faculty of Medicine of Porto University, Centro Hospitalar São João and Ipatimup/i3S, Porto, Portugal

    Fátima Carneiro

Authors
  1. Chella R. S. van der Post
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  2. Fátima Carneiro
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Corresponding author

Correspondence to Chella R. S. van der Post .

Editor information

Editors and Affiliations

  1. Faculty of Medicine of Porto University, Centro Hospitalar São João and Ipatimup/i3S, Porto, Portugal

    Fátima Carneiro

  2. Serviço de Anatomia Patológica, Instituto Português de Oncologia de Lisboa de Francisco Gentil, Lisbon, Portugal

    Paula Chaves

  3. Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal

    Paula Chaves

  4. Department of Pathology, Ankara University Medical School, Sihhiye, Ankara, Turkey

    Arzu Ensari

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van der Post, C.R.S., Carneiro, F. (2017). Gastric Stump. In: Carneiro, F., Chaves, P., Ensari, A. (eds) Pathology of the Gastrointestinal Tract. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-40560-5_1605

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  • DOI: https://doi.org/10.1007/978-3-319-40560-5_1605

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40559-9

  • Online ISBN: 978-3-319-40560-5

  • eBook Packages: MedicineReference Module Medicine

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