CARCINOMA OF THE STOMACH FOLLOWING GASTROENTEROSTOMY FOR DUODENAL ULCER

Abstract

IN CONTRAST to the infrequent coexistence of duodenal ulcer and gastric carcinoma, the incidence of gastric carcinoma is high in gastric lesions which occasionally develop in patients after gastroenterostomy has been performed for treatment of duodenal ulcer. In view of this high incidence, it is surprising that so few reports dealing with such lesions have appeared. In 1932 Wilbur and Rivers¹ reported on 33 patients in whom duodenal ulcer was associated with gastric carcinoma. Four of these patients had previously been subjected to gastrojejunostomy. Fischer, Clagett, and McDonald,² in 1947, reported 48 cases of duodenal ulcer coexistent with gastric carcinoma. Gray and Lofgren³ found gastric neoplasm in 27% of 41 patients in whom gastric lesions developed after gastroenterostomy. Two similar cases were reported by Epstein and Mendell in 1950.⁴ Three such cases have been encountered in our institution during a three-year period. Because of the paucity