CARCINOMA OF THE STOMACH: A REVIEW WITH SPECIAL REFERENCE TO TOTAL GASTRECTOMY
| Autor: | David J. Gillett, John W. Hollinshead, H. L. Carmalt |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal pain Palliative care medicine.medical_treatment Adenocarcinoma Gastroenterology Gastrectomy Stomach Neoplasms Laparotomy Internal medicine medicine Carcinoma Humans Prospective Studies Survival rate Aged Retrospective Studies Aged 80 and over business.industry Stomach Palliative Care General Medicine Middle Aged medicine.disease Dysphagia Surgery medicine.anatomical_structure Evaluation Studies as Topic Female medicine.symptom business Follow-Up Studies |
| Zdroj: | ANZ Journal of Surgery. 60:759-763 |
| ISSN: | 1445-2197 1445-1433 |
| DOI: | 10.1111/j.1445-2197.1990.tb07470.x |
| Popis: | Five hundred and eleven patients with adenocarcinoma of the stomach were reviewed. Weight loss and abdominal pain were the most common symptoms. One-third of patients were found to have proximal gastric lesions with dysphagia being a major symptom in 23% of all patients. Laparotomy was performed on 88% of patients with 56% of the entire series undergoing gastric resection. The overall 5-year survival rate was 12.3% and for curative resection 43%. The 5-year survival rate of patients undergoing total gastrectomy was 53% and for patients undergoing subtotal or partial gastrectomy the 5-year survival rate was 42%. The operative mortality, similar in both groups, was 8.1% versus 5.6%. Palliation was better achieved by resection than bypass. Total gastrectomy for palliation was undertaken in 48 patients. This group of patients has achieved a good quality of life and a mean survival rate of 12.5 months. |
| Databáze: | OpenAIRE |
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