2010, Number 1
Rev Med Hosp Gen Mex 2010; 73 (1)
Surgical treatment of gastric carcinoma at the Gastroenterology Service of the Hospital General de México
Pérez TE, Abdo FJM, Zavala SMR, Badillo VGY, Casillas GGB
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ABSTRACTObjective: To determine the surgical options in the treatment of gastric carcinoma. Methods: Retrospective, observational study at the Gastroenterology Service at the General Hospital of Mexico City during a six year period between January 2004 and December 2009. Variables included sex, age, diagnosis, operation performed and complications. Results: The clinical files of 6,934 patients were reviewed and 63 (0.9%) cases with gastric carcinoma were found; 43 patients fulfilled inclusion criteria, 24 (55.8%) males and 19 (44.2%) females with a median age of 60.3±4.1 years. Diagnostic studies performed included upper GI series, esophagogastroduodenoscopy, chest X-rays and computed tomography of the abdomen and thorax. Twenty six tumors were localized in the antrum, 5 in the fundus and body and 12 in the body of the stomach. Surgical procedures performed were: subtotal gastrectomy and gastrojejunoanastomosis in 23, subtotal gastrectomy (Y Roux type) in 2, gastrojejunoanastomosis in 4, total gastrectomy in 3 and lymph node biopsy in 11 patients. Two patients (4.6 %) had dehiscence of the anastomosis; one of them (2.3%) died. Conclusions: Subtotal gastrectomy with dissection of the D1 lymph nodes is the most frequently used treatment for gastric carcinoma in our experience.