{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:55:41Z","timestamp":1790276141114,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,5,14]],"date-time":"2012-05-14T00:00:00Z","timestamp":1336953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2012,9,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The risk of cancer in the gastric remnant after distal gastrectomy for benign ulcer disease has been assessed mainly in studies of small sample size, selected series and limited follow\u2010up time. This was a population\u2010based cohort study of patients who had undergone distal gastrectomy for benign ulcer disease in 1964\u20132008 in Sweden. Data for follow\u2010up for cancer and censoring for death were obtained from nationwide registries of Cancer and Population, respectively. The number of observed cancer cases in the gastrectomy cohort was divided by the expected number, calculated from the cancer incidence of the Swedish population of corresponding age, sex and calendar year. Relative risks were presented as standardized incidence ratios (SIRs) with 95% confidence intervals (CIs). The distal gastrectomy cohort included 18,912 patients and 323,676 person\u2010years at risk. The observed total number of gastric stump cancers (<jats:italic>n<\/jats:italic> = 140) was not higher than expected (SIR 0.84, 95% CI 0.71\u20130.99). There was no increased SIR with latency periods shorter than 30 years; increase was seen only among patients who had undergone gastric resection over 30 years earlier (SIR 2.29, 95% CI 1.38\u20133.57). Sex, age, ulcer location and type of surgical reconstruction were not associated with any considerable differences in SIR. In conclusion, this large population\u2010based study revealed an increased risk of cancer in the gastric remnant only 30 years or longer after gastric resection for benign disease, whereas other factors did not influence this risk.<\/jats:p>","DOI":"10.1002\/ijc.27614","type":"journal-article","created":{"date-parts":[[2012,4,24]],"date-time":"2012-04-24T18:29:23Z","timestamp":1335292163000},"source":"Crossref","is-referenced-by-count":44,"title":["Gastric stump cancer after distal gastrectomy for benign gastric ulcer in a population\u2010based study"],"prefix":"10.1002","volume":"131","author":[{"given":"Jesper","family":"Lagergren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Lindam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Mason","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,5,14]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-008-0382-7"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-008-9871-8"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2006.09.006"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5538"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-009-1090-5"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2006.04.018"},{"key":"e_1_2_5_8_2","first-page":"82","article-title":"Surgical outcome of 483 patients with early gastric cancer: prognosis, postoperative morbidity and mortality, and gastric remnant cancer","volume":"51","author":"Onodera H","year":"2004","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00228-008-0538-y"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-005-2999-5"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199606000-00008"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-009-9350-y"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-450"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/140349489502300314"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/02841860802247664"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/91.9.786"},{"key":"e_1_2_5_17_2","volume-title":"The design and analysis of cohort studies. 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