中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (10): 806-807.

• 专题笔谈 • 上一篇    下一篇

残胃癌的流行病学及预防有关问题

陈 凛，王 宁   

  1. 中国人民解放军总医院普通外科，北京100853
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-10-01 发布日期:2009-10-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-10-01 Published:2009-10-01

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摘要：

残胃癌是指因胃或十二指肠良性病变而行胃大部切除术5 年以上由残胃发生的原发肿瘤。影响残胃癌发生的因素较多，概括起来主要有：年龄、性别、术后间隔时间、吻合方式、幽门螺旋杆菌、十二指肠胃反流以及胃泌素减少及消化因素等。针对残胃癌发生的影响因素，对因胃、十二指肠病变需要行胃部手术及术后病人，应采取相应的预防措施，积极避免残胃癌的发生。

关键词: 残胃癌流行病学研究, 幽门螺旋杆菌感染, 胃肠反流

Abstract:

Some matters about epidemiology and prevention of gastric stump carcinoma CHEN Lin， WANG Ning. Department of General Surgery, General Hospital of Chinese PLA, Beijing 100853, China Corresponding author: CHEN Lin, E-mail：chenlinbj@vip.sina.com Abstract Gastric stump carcinoma (GSC) is defined as a carcinoma occurring in the gastric remnant at least 5 years after surgery for benign peptic ulcer disease. Carcinomas in the gastric stump occurring are thought to have a different mechanism of carcinogenesis including age, gender, postoperative time interval, type of operation, HP infection, duodenogastric reflux and less gastrin, etc. Due to the factors, it should adopt some protective measures so as to avoid the occurance of GSC.

Key words: epidemiological study of gastric stump carcinoma； helicobacter pylori infection, gastrointestinal reflux