Clinical data of 163 patients with RGC admitted to our department from January 2005 to January 2015 were collected and reviewed.
RESULTS: The time duration of all the RGC patients between primary
gastrectomy and occurrence of RGC ranged from 9 to 46 years (median 27.5 years). Among 163 patients, 112(68.7%) patients manifested as discomfort in the upper abdominal region, 47(28.8%) patients had
hematemesis and
melena, 38(23.3%) had
vomiting, 17(10.4%) had swallowing difficulty and 12 (7.4%) had decreased weights. In pathology, 127 (77.9%) cases were median or low grade
adenocarcinoma; 114(69.8%) patients were Borrmann type III(
gastric cancer under
endoscope; 145 (88.9%) patients were TNM III(-IIII(
gastric cancer. A total of 106 patients underwent operation, including 75(70.8%) patients of radical resection and 31(29.3%) patients of palliative resection. Patients mainly received
Billroth II( anastomosis (77.4%) as digestive tract reconstruction, while 57 cases did not receive surgical operation. The overall 1-, 3-, and 5-year survival rates of the patients were 76.1%, 43.4%, 25.8% respectively. The median survival time of patients receiving radical resection and those receiving palliative resection was 34.6 months and 16.4 months respectively, whereas patients who did not receive surgical operation died 3-8 months after initial diagnosis.
CONCLUSIONS: