Patients who have undergone distal gastrectomy–in particular, the Billroth I type–have a higher risk of subsequent cancer of the lower third of the esophagus, according to a report in the November issue of Archives of Surgery.
Duodenogastroesophageal reflux is thought to be common in patients after distal gastrectomy, the authors explain, but whether this contributes to the development of esophageal cancer in such patients is controversial.
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