Trends of gastric malignancies: Case study of Ibn Sina Hospital 2010-2011

Alagib A bdulatif Ibrahim1; Mutaz  Salah Eldeen; El sagad  Eltayeb; Mohamed  OM Sulaiman; MAM  Ibnouf; Abdulmagid  M Masaad

doi:10.52981/sjms.v7i2.1043

Alagib A bdulatif Ibrahim1 Surgical registrar
Mutaz Salah Eldeen Consultant surgeons.
El sagad Eltayeb Alneelain university.
Mohamed OM Sulaiman Consultant surgeons.
MAM Ibnouf Consultant surgeons
Abdulmagid M Masaad Consultant surgeons

DOI: https://doi.org/10.52981/sjms.v7i2.1043

Keywords: Adenocarcinoma, lymphoma,, carcinoid,, dysphagia.

Abstract

Back ground: Gastric malignancies carry poor prognosis, because they commonly present at an
advanced stage.
Objective: to find out mode of presentation and its impact on the outcome and management of
gastric cancer and to find if there are changes in trends of gastric malignancies over the last decade.
Patients and methods: A review of 53 patients with gastric malignancies, treated at Ibn Sina
Hospital from August 2010 through August 2011. Their demographic data, pattern of clinical
presentation, histopathology grading and staging, type of management and hospital mortality were
studied.
Statistical analysis: Data was fed to Statistical Package for Social Sciences. Means and
correlations were computed where appropriate. One sample t-test was performed. Statistical
significance was taken at P = 0.05.
Results: Out of 53 patients males comprise 30(56.6%) males. The peak frequency was at the age
group 55-70 years. Patients from the Northern Region of Sudan constituted 34%. Adenocarcinoma
comprised 43(81.3%), GIST 8(15%), lymphoma 1(1.9%) and carcinoid 1(1.9%). Epigastric pain
was the commonest symptom in 47(88.7%) patients. Smoking and snuff (Tombak) and high salt
diet were found in 7.5% and 5.7% and 3.8% patients respectively. Blood group A and O was found
in 22.6% and 60.4% respectively. Family cancer syndrome was found in 11.3% patients.
Malignancies of the antrum constitute 27(65.85%), cardia 4(9.8%), body 7(17.1%), and whole
stomach 3(7.3%) patients. There were only 6.25% clinically early cases. Potentially curative
resection was attempted in 31.7%. The mean hospital stay was 12 days.
Conclusion: Patients presented at stage III and IV comprise 30 (93.75%) out of 32 carcinoma
patients. The hospital morbidity was 13(24.6%) patients and mortality 4(7.5%) patients. When
compared with results from same hospital there is improvement in outcome over a decade.

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