Evaluation of endoscopy for early detection of gastric-stump cancer

G. J.A. Offerhaus; K. Huibregtse; G. N.J. Tytgat; A. C. Tersmette; J. P. Vandenbroucke; F. M. Giardiello

doi:10.1016/0140-6736(92)92433-G

Evaluation of endoscopy for early detection of gastric-stump cancer

G. J.A. Offerhaus, K. Huibregtse, G. N.J. Tytgat, A. C. Tersmette, J. P. Vandenbroucke, F. M. Giardiello

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35 Scopus citations

Abstract

The value of endoscopic surveillance of postgastrectomy patients for the early detection of gastric-stump cancer is controversial. Using data from an Amsterdam postgastrectomy cohort of 2633 patients, we have done a retrospective analysis of the effect on mortality from gastric cancer of endoscopic surveillance in these patients. Between 1976 and 1982, 504 symptom-free patients from the Amsterdam cohort participated in an endoscopic surveillance programme. All patients were followed up until 1988. Relative to the general Dutch population, risk of death from gastric cancer was less among patients who took part in surveillance than among those who did not participate. However, differences were small and similar differences existed for risk of death from lung and colorectal cancers, suggesting the presence of selection. Our study seems to confirm that large-scale surveillance of postgastrectomy patients is not justified.

Original language	English (US)
Pages (from-to)	33-35
Number of pages	3
Journal	The Lancet
Volume	340
Issue number	8810
DOIs	https://doi.org/10.1016/0140-6736(92)92433-G
State	Published - Jul 4 1992
Externally published	Yes

ASJC Scopus subject areas

General Medicine

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10.1016/0140-6736(92)92433-G

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@article{a972036225c346b3b5e1fc2067ecfde1,

title = "Evaluation of endoscopy for early detection of gastric-stump cancer",

abstract = "The value of endoscopic surveillance of postgastrectomy patients for the early detection of gastric-stump cancer is controversial. Using data from an Amsterdam postgastrectomy cohort of 2633 patients, we have done a retrospective analysis of the effect on mortality from gastric cancer of endoscopic surveillance in these patients. Between 1976 and 1982, 504 symptom-free patients from the Amsterdam cohort participated in an endoscopic surveillance programme. All patients were followed up until 1988. Relative to the general Dutch population, risk of death from gastric cancer was less among patients who took part in surveillance than among those who did not participate. However, differences were small and similar differences existed for risk of death from lung and colorectal cancers, suggesting the presence of selection. Our study seems to confirm that large-scale surveillance of postgastrectomy patients is not justified.",

author = "Offerhaus, {G. J.A.} and K. Huibregtse and Tytgat, {G. N.J.} and Tersmette, {A. C.} and Vandenbroucke, {J. P.} and Giardiello, {F. M.}",

note = "Funding Information: G. J. A. 0. is a recipient of a gastrointestinal pathology fellowship in the Department of Pathology, Johns Hopkins Hospital, from the Netherlands Organisation for Scientific Research, and from the Netherlands Digestive Disease Foundation. This study was supported by grant WD-8803 from the Netherlands Digestive Disease Foundation and by the Clayton and McAshan",

year = "1992",

month = jul,

day = "4",

doi = "10.1016/0140-6736(92)92433-G",

language = "English (US)",

volume = "340",

pages = "33--35",

journal = "The Lancet",

issn = "0140-6736",

publisher = "Elsevier Limited",

number = "8810",

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T1 - Evaluation of endoscopy for early detection of gastric-stump cancer

AU - Offerhaus, G. J.A.

AU - Huibregtse, K.

AU - Tytgat, G. N.J.

AU - Tersmette, A. C.

AU - Vandenbroucke, J. P.

AU - Giardiello, F. M.

N1 - Funding Information: G. J. A. 0. is a recipient of a gastrointestinal pathology fellowship in the Department of Pathology, Johns Hopkins Hospital, from the Netherlands Organisation for Scientific Research, and from the Netherlands Digestive Disease Foundation. This study was supported by grant WD-8803 from the Netherlands Digestive Disease Foundation and by the Clayton and McAshan

PY - 1992/7/4

Y1 - 1992/7/4

N2 - The value of endoscopic surveillance of postgastrectomy patients for the early detection of gastric-stump cancer is controversial. Using data from an Amsterdam postgastrectomy cohort of 2633 patients, we have done a retrospective analysis of the effect on mortality from gastric cancer of endoscopic surveillance in these patients. Between 1976 and 1982, 504 symptom-free patients from the Amsterdam cohort participated in an endoscopic surveillance programme. All patients were followed up until 1988. Relative to the general Dutch population, risk of death from gastric cancer was less among patients who took part in surveillance than among those who did not participate. However, differences were small and similar differences existed for risk of death from lung and colorectal cancers, suggesting the presence of selection. Our study seems to confirm that large-scale surveillance of postgastrectomy patients is not justified.

AB - The value of endoscopic surveillance of postgastrectomy patients for the early detection of gastric-stump cancer is controversial. Using data from an Amsterdam postgastrectomy cohort of 2633 patients, we have done a retrospective analysis of the effect on mortality from gastric cancer of endoscopic surveillance in these patients. Between 1976 and 1982, 504 symptom-free patients from the Amsterdam cohort participated in an endoscopic surveillance programme. All patients were followed up until 1988. Relative to the general Dutch population, risk of death from gastric cancer was less among patients who took part in surveillance than among those who did not participate. However, differences were small and similar differences existed for risk of death from lung and colorectal cancers, suggesting the presence of selection. Our study seems to confirm that large-scale surveillance of postgastrectomy patients is not justified.

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SP - 33

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JO - The Lancet

JF - The Lancet

IS - 8810

ER -

Evaluation of endoscopy for early detection of gastric-stump cancer

Abstract

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