Surgical Treatment of Fish Impacted in the Upper Esophagus

years of operation in patients whose initial lesion was malignant. In gastrectomy for peptic ulcer disease the peak incidence occurred around the fourth decade after operation 9. Gastric stump cancer surgically treated has bad prognosis. Was observed lower five-year survival in patients with gastric stump cancer than those with primary gastric cancer 10. The treatment of choice is surgical D2 resection of remaining stomach, plus lymphadenectomy including organs and other adjacent lymph nodes resection 3. To improve results is necessary early diagnose. Therefore, endoscopic surveillance should be considered 10. However, there is no consensus in the literature on the screening of gastric stump cancer after gastrectomy. For some, the endoscopic surveillance program should start one year till at least ten years 6. For others, gastrectomy for peptic ulcer disease should continue beyond ten years 4,6,10. But everyone agrees on the need for early cancer detection and appropriate follow-up program 10. REFERENCES 1. Gastric stump cancer after distal gastrectomy for benign gastric ulcer in a population-based study. Int. Tumors arising at previous anastomotic site may have poor prognosis in patients with gastric stump cancer following gastrectomy. The Society for the Study of Postoperative Morbidity after Gastrectomy. Current state of gastric stump carcinoma in Japan: based on the results of a nationwide survey. T. Clinicopathological characteristics and survival difference between gastric stump carcinoma and primary upper third gastric cancer. J.