caa a22 4500 475802969 CHVBK 20180406123742.0 cr unu---uuuuu 170329e20000401xx s 000 0 eng 10.1007/s002689910075 doi (NATIONALLICENCE)springer-10.1007/s002689910075 Carcinoma of the Gastric Cardia: Surgical Practices and Short-term Operative Results in a Defined Swedish Population [Elektronische Daten] [Lars-Erik Hansson, Anna-Mia Ekström, Reinhold Bergström, Olof Nyrén] Abstract.: Adenocarcinoma of the gastric cardia has one of the most rapidly increasing incidence rates of all tumors in Western countries. The aim of this population-based investigation was to study surgical practices and postoperative morbidity and mortality during routine hospital care. The study comprised 176 patients given a new diagnosis of adenocarcinoma of the gastric cardia from February 1, 1989 to the January 31, 1995 in five Swedish counties. The tumor was resectable in 100 (57%) patients (in 36% of the women and 64% of the men), but only 46% of all patients could be offered a potentially curative operation. A total gastrectomy was performed in 54 patients and a proximal gastric resection in 44. Postoperative complications occurred in 39%: in 20% of the patients under age 60 years and in 47% of those aged 60 and over (p= 0.006). Seventeen operated patients (13%) died before discharge. The hospital mortality increased from 3% among those < 60 years of age to 18% among those > 69 years (p= 0.041). Surgical treatment of carcinoma of the gastric cardia carries substantial morbidity and mortality. No important progress seems to have taken place since the 1960s. Société Internationale de Chirurgie, 2000 Hansson Lars-Erik Department of Surgery, Mora Hospital, S-792 85 Mora, Sweden, SE aut Ekström Anna-Mia Department of Medical Epidemiology, Karolinska Institute, S-171 77 Stockholm, Sweden, SE aut Bergström Reinhold Department of Medical Epidemiology, Karolinska Institute, S-171 77 Stockholm, Sweden, SE aut Nyrén Olof Department of Medical Epidemiology, Karolinska Institute, S-171 77 Stockholm, Sweden, SE aut World Journal of Surgery Springer-Verlag 24/4(2000-04-01), 473-478 0364-2313 24:4<473 2000 24 268 https://doi.org/10.1007/s002689910075 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910075 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hansson Lars-Erik Department of Surgery, Mora Hospital, S-792 85 Mora, Sweden, SE aut NATIONALLICENCE 700 1- Ekström Anna-Mia Department of Medical Epidemiology, Karolinska Institute, S-171 77 Stockholm, Sweden, SE aut NATIONALLICENCE 700 1- Bergström Reinhold Department of Medical Epidemiology, Karolinska Institute, S-171 77 Stockholm, Sweden, SE aut NATIONALLICENCE 700 1- Nyrén Olof Department of Medical Epidemiology, Karolinska Institute, S-171 77 Stockholm, Sweden, SE aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/4(2000-04-01), 473-478 0364-2313 24:4<473 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer