Clinical Review of Gastric Cancer

A clinical study was carried out on 227 cases of gastric cancer managed at Department of General Surgery of EWHA Woman's University Hospital, from January 1986 to December 1992.

The results were as follows :

1) The age were 27 years to 92 years, and the most freguent age group was 6th decade.

2) The sex ratio of male to female was 1.8:1.

3) The duration of symptom were less than 6 months in 62.5% and more than 6 months in 37.5%.

4) The most common subjective symptoms were epigastric pain & discomfort(79.2%), indigestion(33%), weight loss(13.2%) and nausea & vomiting(11.8%) respectively.

5) The proportion of blood group A among all cases was 37% which was slight higher than that of general population 32.6%.

6) Epigastric tenderness was most common physical finding(44.9%), but 14.5% of all cases had no physical findings.

7) The most common lesion location were antrum & pylorus in 69%, body and fundus were 27% and 4% respectively.

8) 99.6% of all acse were adenocarcinoma.

9) Early gastric cancer were found in 21.1% of cases.

10) The operability was 92.5%, and resectability was 85.9%.

11) Postoperative morbidity was 18%, Wound infection and enterocutaneous fistula were most common complications.