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...
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
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.
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.
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.
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.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this entry
Cite this entry
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
Download citation
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