Surgical Resection of Remnant XXXX Following Distal Gastrectomy: A Retrospective Clinicopathological Study.

@entity1 @entity1605 @entity1819 @entity5 @entity3 @entity356
BACKGROUND: @entity356 ( @entity356 ) is one of the less prevalent @entity356 . The purpose of this study was to explore the clinicopathological characteristics and results of the operation of @entity356 following distal gastrectomy. In particular, we examined factors related to prognosis. METHODS: Between January 1970 and December 2012, 122 @entity1 with @entity356 following distal gastrectomy underwent further surgery and were analyzed retrospectively. RESULTS: Initial @entity1819 included benign (49 @entity1 , 40.2  %) and @entity5 (73 @entity1 , 59.8  %). Reconstructions by initial surgery included Billroth I (80 @entity1 , 65.6  %) and @entity1605 (42 @entity1 , 34.4  %). @entity5 were located at anastomotic (44 @entity1 , 36.1  %) and nonanastomotic sites (78 @entity1 , 63.9  %). There were 59 @entity1 (48.4  %) classified with pathological (p) stage I, 19 as p stage II (15.6  %), 22 as p stage III (18.0  %), and 22 (18.0  %) as p stage IV. A total of 100 @entity1 (82.0  %) underwent curative resection, and 22 underwent noncurative resection. The number of cases of postoperative morbidity, 90-day mortality, and adjuvant chemotherapy were 23 (18.9  %), 3 (2.5  %), and 20 (16.4  %), respectively. Univariate and multivariate analyses were performed to identify the prognostic factors of @entity356 . Multivariate analysis revealed historical periods, pathological @entity3 , curative resection, and postoperative morbidity to be independent prognostic factors. CONCLUSIONS: The prognosis of @entity1 with @entity356 can be improved by aggressively performing curative resection without causing complications.
