Modern diagnosis problems of gastric stump cancer

Gastric stump cancer represents a malignant tumor which develops after subtotal gastrectomy was performed both for benign and malignant lesions. Worldwide gastric cancer is the second cause of death by cancer.
The clinical picture of operated stomach has nonspecific, insidious symptoms which are hard to be included in a clinical entity. Clinical diagnosis can rarely identify suspected GSC in the early stages because symptoms are missing in most cases. A legitimate question is whether gastric stump cancer screening is necessary in patients with a history of subtotal gastrectomy.
In conclusion it is particularly important that the clinical examination, but especially with the help of laboratory investigations try to establish early diagnosis, creating thus prerequisites for therapeutic management with better results.