Gastric remnant carcinoma was defined as cancer developing in the remnant mucosa more 5 years after surgery for benign gastroduodenal diseases or malignant lesions. To evaluate retrospectively the surgical treatment of patients with gastric remnant carcinoma following gastrectomy for benign and malignant gastroduodenal diseases, we reviewed 10 cases operated on at the Dept. of general surgery, chonbuk national university hospital between 1990 and 1994. The 10 cases accounted for l.96% of all operative cases for gastric cancer in the same period. Of the 10 cases, 5 were first operated on for adenocarcinoma and other 5 for peptic ulcer. Cancer arising in the gastric remnant was most commonly found in aged men. Patients group whose initial diseases were malignant appeared remnant carcinoma in shorter period after operation compared to patients group whose initial ones were benign. Carcinoma was developed on anastomois site totally after Billroth I reconstructian and evenly appeared on anastomosed and remnant sites after Billroth II reconstruction. Unfortunately the prognosis of gastric remnant carcinoma must be said poor in general, however, patients in stage I can sufficiently expect to survive for a long period. So, the significance of strict postoperative follow-up is recommended irrespective of the nature(benign or malignant) of the initial disease, esp, in early post-operative period.
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