Cancer of the gastric stump after partial gastrectomy (Billroth II principle) for ulcer

Eighteen cancers of the gastric remnant after resection for peptic ulcer are reviewed. Current views on the etiology and pathogenesis of this malignancy are described, as a prolonged exposure of the gastric mucosa to alkaline juices seems to create a precancerous state. Diagnosis of the condition through symptoms, x-ray examination, cytology, and endoscopic methods is discussed. The curative procedure is recommended, and the poor value of palliative surgery is emphasized. Seven survivors (three long-term survivors) are reported.