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  • Title: [Follow-up study of B-II-stomachs: clinical, endoscopic and histologic results].
    Author: Nittner H, Engelhart G, Hardmeier T, Ammann J.
    Journal: Helv Chir Acta; 1980 Dec; 47(5):561-4. PubMed ID: 7204077.
    Abstract:
    Histological investigation leads to significantly more reliable evaluation of the B-2 stump than do clinical or endoscopic examinations. This is the result of our study, in which follow-up examinations in 58 patients were undertaken 25 to 30 years after B-2 resection for benign ulcer. Of these 58 patients 23 were examined endoscopically and histologically (22 patients). The histological results of interest are: early cancer, dysplasia and intestinal metaplasia. - Carcinoma of the gastric stump occurs only occasionally earlier than 15 years after resection. In order to detect more early cancers, we therefore suggest that a routine endoscopy and histological evaluation of the gastric mucosa should be undertaken 15 years after gastric resection for benign ulcer. Further follow-ups depend on the result of this "staging" of the gastric mucosa.
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