BACKGROUND/AIMS: How endoscopy can be used in the follow-up of the upper gastrointestinal tract in @entity1 who underwent gastrectomy for early @entity356 remains unclear. METHODOLOGY: Two-hundred and ten @entity1 (137 males and 73 females, aged at initial gastrectomy 27-86, average age 56.5) were followed in the present study. Results of follow-up endoscopy of all @entity1 , pathologic diagnoses of secondary @entity5 and interval between gastrectomy and detection of secondary @entity5 were reviewed. Cumulative incidence rate of second @entity5 in the upper gastrointestinal tract was then analyzed. RESULTS: Secondary @entity5 was observed by follow-up endoscopy in 7 @entity1 including two gastric, one esophageal, one @entity189 and 3 gastric @entity652 . The interval between initial gastrectomy and diagnosis of secondary @entity5 ranged from 20 to 71 months (average 51.7 months). All @entity189 were early stage and localized within the mucosa. Three @entity1 with secondary @entity5 were successfully treated by endoscopic mucosal resection. The cumulative incidence rate of secondary @entity5 in the gastric remnant, esophagus and duodenum at six years after initial gastrectomy was 1.0, 0.8 and 0.5%, respectively. The overall incidence rate of secondary @entity5 of the upper gastrointestinal tract at six years after distal gastrectomy was 4.1%. CONCLUSIONS: The present findings indicate that annual follow-up endoscopy of the upper gastrointestinal tract after gastrectomy for early @entity356 can be introduced to detect @entity189 at an early stage, thus improving the survival rate of gastrectomy @entity1 .

Efficacy of endoscopic surveillance of the upper gastrointestinal tract following distal gastrectomy for early XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'cancer', 'tumors'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinomas', 'duodenal carcinoma', 'carcinoma'] @entity652 :: ('MESH:D000236', 'Disease') :: ['adenomas'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric cancer']
@entity356 :: (MESH:D013274,Disease) :: ['gastric cancer']
