Impact of visceral adipose tissue on compliance of adjuvant chemotherapy and relapse-free survival after gastrectomy for gastric cancer: a propensity score matching analysis
In this study, we clarified the impact of low preoperative visceral fat mass on compliance and relapse-free survival (RFS) in gastric cancer patients. (Source: Clinical Nutrition)
Source: Clinical Nutrition - April 17, 2021 Category: Nutrition Authors: Ryota Matsui, Noriyuki Inaki, Toshikatsu Tsuji Tags: Original article Source Type: research

Sleeve gastrectomy versus Roux-en-Y gastric bypass in patients Aged ≥65 years: a comparison of short-term outcomes
▪▪▪ (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 17, 2021 Category: Surgery Authors: Joel S. Frieder, Lisandro Montorfano, Camila Ortiz Gomez, Rene Aleman, Luis Felipe Okida, Francisco Ferri, David Romero Funes, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original article Source Type: research

Impact of telephone monitoring on cancer patients undergoing esophagectomy and gastrectomy
Conclusion: Telephone monitoring provided greater patient satisfaction in the intervention group, demonstrating the real impact of this process on the care of cancer patients.RESUMEN Objetivo: Evaluar el monitoreo telef ónico en los síntomas, en la calidad de vida, en el distrés, en las admisiones en el centro de emergencias y en la satisfacción del paciente oncológico sometido a esofagectomía y gastrectomía. Método: Se trata de un estudio aleatorizado en dos grupos, realizado en el Instituto del Cáncer del Estado de São Paulo, en el que el grupo interve...
Source: Revista da Escola de Enfermagem da USP - April 16, 2021 Category: Nursing Source Type: research

Perioperative Electroacupuncture Can Accelerate the Recovery of Gastrointestinal Function in Cancer Patients Undergoing Pancreatectomy or Gastrectomy: A Randomized Controlled Trial
Evid Based Complement Alternat Med. 2021 Mar 31;2021:5594263. doi: 10.1155/2021/5594263. eCollection 2021.ABSTRACTThe effect of perioperative acupuncture on accelerating gastrointestinal function recovery has been reported in colorectal surgery and distal gastrectomy (Billroth-II). However, the evidence in pancreatectomy and other gastrectomy is still limited. A prospective, randomized controlled trial was conducted between May 2018 and August 2019. Consecutive patients undergoing pancreatectomy or gastrectomy in our hospital were randomly assigned to the electroacupuncture (EA) group and the control group. The patients in...
Source: Evidence-based Complementary and Alternative Medicine - April 16, 2021 Category: Complementary Medicine Authors: Guotong Qiu Tao Huang Yang Lu Lipeng Zhang Yajie Zhao Yong Yuan Hu Ren Jun An Jincao Zhou Rongjun Li Yongxing Du Tuoran Wang Peng Wang Fang He Yunqing Ding Jianwei Zhang Bin Han Zhongmin Lan Shulan Qi Zongze Li Jianyong Gao Zongting Gu Yuemin Sun Xiaofeng Source Type: research

Comparison of nutrition and quality of life of esophagogastrostomy and the double-tract reconstruction after laparoscopic proximal gastrectomy
This study aims to compare the nutritional outcomes and quality of life between patients who underwent esophagogastrostomy (EG) and those who underwent the double-tract reconstruction (DTR) after laparoscopic proximal gastrectomy for early gastric cancer. We retrospectively reviewed the prospectively established database of 45 patients who underwent EG with anti-reflux procedure and 58 patients who underwent the DTR after laparoscopic proximal gastrectomy between December 2013 and June 2017. Then, we compared the baseline characteristics, clinical outcomes, postoperative nutritional parameters, and quality of life (QOL)...
Source: Medicine - April 16, 2021 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Assessment of Robotic Versus Laparoscopic Distal Gastrectomy for Gastric Cancer: A Randomized Controlled Trial
Objective: To evaluate the short-term outcomes of patients with GC who received RDG or LDG. Summary Background Data: Despite the increasing use of RDG in patients with GC, its safety and efficacy compared to those of LDG have not been elucidated in a randomized controlled trial. Methods: Three hundred patients with cT1-4a and N0/+ between September 2017 and January 2020 were enrolled in this randomized controlled trial at a high-volume hospital in China. The short-term outcomes were compared between the groups. Results: The modified intention-to-treat analysis included data from 283 patients (RDG g...
Source: Annals of Surgery - April 15, 2021 Category: Surgery Tags: RANDOMIZED CONTROLLED TRIALS Source Type: research

Comparative Effectiveness of Vertical Sleeve Gastrectomy Versus Roux-en-Y Gastric Bypass for Diabetes Treatment: A Claims-based Cohort Study
Conclusions: In a large claims-based, nationwide cohort of bariatric patients with diabetes, those undergoing RYGB were more likely to come off all medications than those undergoing VSG. Patients with diabetes should consider this potential benefit of RYGB when making informed decisions about obesity treatments. (Source: Annals of Surgery)
Source: Annals of Surgery - April 15, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Comprehensive Learning Curve of Robotic Surgery: Discovery From a Multicenter Prospective Trial of Robotic Gastrectomy
Objective: To evaluate the complication-based learning curve and identify learning-associated complications of robotic gastrectomy. Summary Background Data: With the increased popularity of robotic surgery, a sound understanding of the learning curve in the surgical outcome of robotic surgery has taken on great importance. However, a multicenter prospective study analyzing learning-associated morbidity has never been conducted in robotic gastrectomy. Methods: Data on 502 robotic gastrectomy cases were prospectively collected from 5 surgeons. Risk-adjusted cumulative sum analysis was applied to visualize t...
Source: Annals of Surgery - April 15, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Beneficial effects of proximal intestinal bypass reconstruction on glucose metabolism in a type 2 diabetes animal model: a possible reconstruction strategy for diabetic gastric cancer patients
Ann Surg Treat Res. 2021 Apr;100(4):218-227. doi: 10.4174/astr.2021.100.4.218. Epub 2021 Mar 30.ABSTRACTPURPOSE: Proximal intestinal bypass (PIB), such as Billroth II or Roux-en-Y gastrojejunostomy after curative distal gastrectomy for gastric cancer induces beneficial effects on glycemic control in patients with type 2 diabetes. We aimed to characterize the long-term evolution of pancreatic beta cells and insulin signaling in target tissue after a PIB procedure.METHODS: Zucker diabetic fatty rats were randomly assigned to the PIB, sham-operated PIB pair-fed, and ad libitum fed groups. Oral glucose tolerance (GT) and plasm...
Source: Annals of Surgical Treatment and Research - April 15, 2021 Category: Surgery Authors: Soo Min Ahn Woo Jin Hyung Source Type: research

The Impact of Nerve Involvement on the Prognosis of Gastric Cancer Patients with Curative Gastrectomy: An International Multicenter Analysis
This study is aimed at determining the prognostic significance of PNI in gastric cancer. Study Design. The data of 2969 patients with gastric cancer and who had undergone curative gastrectomy from 2006 to 2010 in two high-volume hospitals of China and Korea were retrospectively analyzed. PNI positivity was identified when carcinoma cells were found to infiltrate into the perineurium or neural fascicles. The relationships between PNI and other clinicopathological factors were evaluated, and survival analyses were performed.RESULTS: The presence of PNI was detected in 1055 of the 2969 patients (35.5%). Nationality, age, tumo...
Source: Disease Markers - April 15, 2021 Category: Laboratory Medicine Authors: Kun Yang Yu-Qing Dan Yoon Young Choi Zong-Guang Zhou Woo Jin Hyung Jian-Kun Hu Sung Hoon Noh Source Type: research

Long-Term Oncological Outcomes of Reduced Three-Port Laparoscopic Gastrectomy for Early-Stage Gastric Carcinoma: a Retrospective Large-Scale Multi-Institutional Study
CONCLUSIONS: Long-term survival after 3- and 5-port LG was comparable in patients with early-stage gastric carcinoma. The 3-port technique requiring limited surgical assistance may be an appropriate surgical option for this patient population.PMID:33854817 | PMC:PMC8019999 | DOI:10.5230/jgc.2021.21.e8 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Han Hong Lee Oh Jeong Ho Seok Seo Min Gew Choi Seong Yeob Ryu Tae Sung Sohn Jae Moon Bae Sung Kim Jun Ho Lee Source Type: research

A Novel Approach for Gastric Cancer Staging in Elderly Patients Based on the Lymph Node Ratio
CONCLUSIONS: LNR staging is more useful than N staging in predicting the prognosis in elderly patients with gastric cancer and may be used as a complement or alternative to N staging.PMID:33854816 | PMC:PMC8020007 | DOI:10.5230/jgc.2021.21.e9 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Joonseon Park Chul Hyo Jeon So Jung Kim Ho Seok Seo Kyo Young Song Han Hong Lee Source Type: research

Adverse Effects of Ligation of an Aberrant Left Hepatic Artery Arising from the Left Gastric Artery during Radical Gastrectomy for Gastric Cancer: a Propensity Score Matching Analysis
J Gastric Cancer. 2021 Mar;21(1):74-83. doi: 10.5230/jgc.2021.21.e6. Epub 2021 Mar 24.ABSTRACTPURPOSE: No consensus exists on whether to preserve or ligate an aberrant left hepatic artery (ALHA), which is the most commonly encountered hepatic arterial variation during gastric surgery. Therefore, we aimed to evaluate the clinical effects of ALHA ligation by analyzing the perioperative outcomes.MATERIALS AND METHODS: We retrospectively reviewed the data of 5,310 patients who underwent subtotal/total gastrectomy for gastric cancer. Patients in whom the ALHA was ligated (n=486) were categorized into 2 groups according to peak ...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Sejin Lee Taeil Son Jeong Ho Song Seohee Choi Minah Cho Yoo Min Kim Hyoung-Il Kim Woo Jin Hyung Source Type: research

Impact of Esophagojejunal Reconstruction without Division of the Mesentery for Total Laparoscopic Total Gastrectomy
CONCLUSIONS: LTG without MD is a safe surgical treatment for upper or middle third gastric cancer. LTG without MD may be an alternative procedure for EJ anastomosis during TLTG.PMID:33854814 | PMC:PMC8019998 | DOI:10.5230/jgc.2021.21.e7 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Chang Seok Ko Jin Ho Jheong In-Seob Lee Beom Su Kim Min-Ju Kim Moon-Won Yoo Source Type: research

Is it Beneficial to Utilize an Articulating Instrument in Single-Port Laparoscopic Gastrectomy?
CONCLUSIONS: The new multi-DOF articulating grasper is feasible and can be used as an alternative for prebent graspers during SP-LDG.PMID:33854812 | PMC:PMC8020002 | DOI:10.5230/jgc.2021.21.e2 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Amy Kim Chang Min Lee Sungsoo Park Source Type: research

Optimal Timing to Assess Drain Amylase Concentration after Elective Gastrectomy
J Gastric Cancer. 2021 Mar;21(1):30-37. doi: 10.5230/jgc.2021.21.e1. Epub 2021 Mar 2.ABSTRACTPURPOSE: While the amylase concentration of the drainage fluid (dAmy) has been reported to be a predictor of postoperative pancreas-related complications (PPRC), the optimal timing for its measurement has not been fully investigated.MATERIALS AND METHODS: The clinicopathological data of 387 patients who underwent elective gastrectomy for gastric cancer were reviewed. Laboratory data, including dAmy on postoperative days 1 (dAmy1) and 3 (dAmy3), and serum C-reactive protein (sCRP) concentrations on postoperative days 1 (sCRP1) and 3...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Tomoyuki Wakahara Kiyonori Kanemitsu Susumu Miura Shinobu Tsuchida Takeshi Iwasaki Mitsuru Sasako Source Type: research

Pancreatic Fistula after D1+/D2 Radical Gastrectomy according to the Updated International Study Group of Pancreatic Surgery Criteria: Risk Factors and Clinical Consequences. Experience of Surgeons with High Caseloads in a Single Surgical Center in Eastern Europe
J Gastric Cancer. 2021 Mar;21(1):16-29. doi: 10.5230/jgc.2021.21.e3. Epub 2021 Mar 18.ABSTRACTPURPOSE: Incidence, risk factors, and clinical consequences of pancreatic fistula (POPF) after D1+/D2 radical gastrectomy have not been well investigated in Western patients, particularly those from Eastern Europe.MATERIALS AND METHODS: A total of 358 D1+/D2 radical gastrectomies were performed by surgeons with high caseloads in a single surgical center from 2002 to 2017. A retrospective analysis of data that were prospectively gathered in an electronic database was performed. POPF was defined and graded according to the Internati...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Alexandru Martiniuc Traian Dumitrascu Mihnea Ionescu Stefan Tudor Monica Lacatus Vlad Herlea Catalin Vasilescu Source Type: research

Intraoperative Tumor Localization of Early Gastric Cancers
J Gastric Cancer. 2021 Mar;21(1):4-15. doi: 10.5230/jgc.2021.21.e4. Epub 2021 Mar 23.ABSTRACTRecently, endoscopic screening systems have enabled the diagnosis of gastric cancer in the early stages. Early gastric cancer (EGC) is typically characterized by a shallow invasion depth and small size, which can hinder localization of EGC tumors during laparoscopic surgery. Here, we review nine recently reported tumor localization methods for the laparoscopic resection of EGCs. Preoperative dye or blood tattooing has the disadvantage of spreading. Preoperative 3-dimensional computed tomography reconstruction is not performed in re...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Sang-Ho Jeong Kyung Won Seo Jae-Seok Min Source Type: research

Beneficial effects of proximal intestinal bypass reconstruction on glucose metabolism in a type 2 diabetes animal model: a possible reconstruction strategy for diabetic gastric cancer patients
Ann Surg Treat Res. 2021 Apr;100(4):218-227. doi: 10.4174/astr.2021.100.4.218. Epub 2021 Mar 30.ABSTRACTPURPOSE: Proximal intestinal bypass (PIB), such as Billroth II or Roux-en-Y gastrojejunostomy after curative distal gastrectomy for gastric cancer induces beneficial effects on glycemic control in patients with type 2 diabetes. We aimed to characterize the long-term evolution of pancreatic beta cells and insulin signaling in target tissue after a PIB procedure.METHODS: Zucker diabetic fatty rats were randomly assigned to the PIB, sham-operated PIB pair-fed, and ad libitum fed groups. Oral glucose tolerance (GT) and plasm...
Source: Annals of Surgical Treatment and Research - April 15, 2021 Category: Surgery Authors: Soo Min Ahn Woo Jin Hyung Source Type: research

The Impact of Nerve Involvement on the Prognosis of Gastric Cancer Patients with Curative Gastrectomy: An International Multicenter Analysis
This study is aimed at determining the prognostic significance of PNI in gastric cancer. Study Design. The data of 2969 patients with gastric cancer and who had undergone curative gastrectomy from 2006 to 2010 in two high-volume hospitals of China and Korea were retrospectively analyzed. PNI positivity was identified when carcinoma cells were found to infiltrate into the perineurium or neural fascicles. The relationships between PNI and other clinicopathological factors were evaluated, and survival analyses were performed.RESULTS: The presence of PNI was detected in 1055 of the 2969 patients (35.5%). Nationality, age, tumo...
Source: Disease Markers - April 15, 2021 Category: Laboratory Medicine Authors: Kun Yang Yu-Qing Dan Yoon Young Choi Zong-Guang Zhou Woo Jin Hyung Jian-Kun Hu Sung Hoon Noh Source Type: research

Long-Term Oncological Outcomes of Reduced Three-Port Laparoscopic Gastrectomy for Early-Stage Gastric Carcinoma: a Retrospective Large-Scale Multi-Institutional Study
CONCLUSIONS: Long-term survival after 3- and 5-port LG was comparable in patients with early-stage gastric carcinoma. The 3-port technique requiring limited surgical assistance may be an appropriate surgical option for this patient population.PMID:33854817 | PMC:PMC8019999 | DOI:10.5230/jgc.2021.21.e8 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Han Hong Lee Oh Jeong Ho Seok Seo Min Gew Choi Seong Yeob Ryu Tae Sung Sohn Jae Moon Bae Sung Kim Jun Ho Lee Source Type: research

A Novel Approach for Gastric Cancer Staging in Elderly Patients Based on the Lymph Node Ratio
CONCLUSIONS: LNR staging is more useful than N staging in predicting the prognosis in elderly patients with gastric cancer and may be used as a complement or alternative to N staging.PMID:33854816 | PMC:PMC8020007 | DOI:10.5230/jgc.2021.21.e9 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Joonseon Park Chul Hyo Jeon So Jung Kim Ho Seok Seo Kyo Young Song Han Hong Lee Source Type: research

Adverse Effects of Ligation of an Aberrant Left Hepatic Artery Arising from the Left Gastric Artery during Radical Gastrectomy for Gastric Cancer: a Propensity Score Matching Analysis
J Gastric Cancer. 2021 Mar;21(1):74-83. doi: 10.5230/jgc.2021.21.e6. Epub 2021 Mar 24.ABSTRACTPURPOSE: No consensus exists on whether to preserve or ligate an aberrant left hepatic artery (ALHA), which is the most commonly encountered hepatic arterial variation during gastric surgery. Therefore, we aimed to evaluate the clinical effects of ALHA ligation by analyzing the perioperative outcomes.MATERIALS AND METHODS: We retrospectively reviewed the data of 5,310 patients who underwent subtotal/total gastrectomy for gastric cancer. Patients in whom the ALHA was ligated (n=486) were categorized into 2 groups according to peak ...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Sejin Lee Taeil Son Jeong Ho Song Seohee Choi Minah Cho Yoo Min Kim Hyoung-Il Kim Woo Jin Hyung Source Type: research

Impact of Esophagojejunal Reconstruction without Division of the Mesentery for Total Laparoscopic Total Gastrectomy
CONCLUSIONS: LTG without MD is a safe surgical treatment for upper or middle third gastric cancer. LTG without MD may be an alternative procedure for EJ anastomosis during TLTG.PMID:33854814 | PMC:PMC8019998 | DOI:10.5230/jgc.2021.21.e7 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Chang Seok Ko Jin Ho Jheong In-Seob Lee Beom Su Kim Min-Ju Kim Moon-Won Yoo Source Type: research

Is it Beneficial to Utilize an Articulating Instrument in Single-Port Laparoscopic Gastrectomy?
CONCLUSIONS: The new multi-DOF articulating grasper is feasible and can be used as an alternative for prebent graspers during SP-LDG.PMID:33854812 | PMC:PMC8020002 | DOI:10.5230/jgc.2021.21.e2 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Amy Kim Chang Min Lee Sungsoo Park Source Type: research

Optimal Timing to Assess Drain Amylase Concentration after Elective Gastrectomy
J Gastric Cancer. 2021 Mar;21(1):30-37. doi: 10.5230/jgc.2021.21.e1. Epub 2021 Mar 2.ABSTRACTPURPOSE: While the amylase concentration of the drainage fluid (dAmy) has been reported to be a predictor of postoperative pancreas-related complications (PPRC), the optimal timing for its measurement has not been fully investigated.MATERIALS AND METHODS: The clinicopathological data of 387 patients who underwent elective gastrectomy for gastric cancer were reviewed. Laboratory data, including dAmy on postoperative days 1 (dAmy1) and 3 (dAmy3), and serum C-reactive protein (sCRP) concentrations on postoperative days 1 (sCRP1) and 3...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Tomoyuki Wakahara Kiyonori Kanemitsu Susumu Miura Shinobu Tsuchida Takeshi Iwasaki Mitsuru Sasako Source Type: research

Pancreatic Fistula after D1+/D2 Radical Gastrectomy according to the Updated International Study Group of Pancreatic Surgery Criteria: Risk Factors and Clinical Consequences. Experience of Surgeons with High Caseloads in a Single Surgical Center in Eastern Europe
J Gastric Cancer. 2021 Mar;21(1):16-29. doi: 10.5230/jgc.2021.21.e3. Epub 2021 Mar 18.ABSTRACTPURPOSE: Incidence, risk factors, and clinical consequences of pancreatic fistula (POPF) after D1+/D2 radical gastrectomy have not been well investigated in Western patients, particularly those from Eastern Europe.MATERIALS AND METHODS: A total of 358 D1+/D2 radical gastrectomies were performed by surgeons with high caseloads in a single surgical center from 2002 to 2017. A retrospective analysis of data that were prospectively gathered in an electronic database was performed. POPF was defined and graded according to the Internati...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Alexandru Martiniuc Traian Dumitrascu Mihnea Ionescu Stefan Tudor Monica Lacatus Vlad Herlea Catalin Vasilescu Source Type: research

Intraoperative Tumor Localization of Early Gastric Cancers
J Gastric Cancer. 2021 Mar;21(1):4-15. doi: 10.5230/jgc.2021.21.e4. Epub 2021 Mar 23.ABSTRACTRecently, endoscopic screening systems have enabled the diagnosis of gastric cancer in the early stages. Early gastric cancer (EGC) is typically characterized by a shallow invasion depth and small size, which can hinder localization of EGC tumors during laparoscopic surgery. Here, we review nine recently reported tumor localization methods for the laparoscopic resection of EGCs. Preoperative dye or blood tattooing has the disadvantage of spreading. Preoperative 3-dimensional computed tomography reconstruction is not performed in re...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Sang-Ho Jeong Kyung Won Seo Jae-Seok Min Source Type: research

Beneficial effects of proximal intestinal bypass reconstruction on glucose metabolism in a type 2 diabetes animal model: a possible reconstruction strategy for diabetic gastric cancer patients
Ann Surg Treat Res. 2021 Apr;100(4):218-227. doi: 10.4174/astr.2021.100.4.218. Epub 2021 Mar 30.ABSTRACTPURPOSE: Proximal intestinal bypass (PIB), such as Billroth II or Roux-en-Y gastrojejunostomy after curative distal gastrectomy for gastric cancer induces beneficial effects on glycemic control in patients with type 2 diabetes. We aimed to characterize the long-term evolution of pancreatic beta cells and insulin signaling in target tissue after a PIB procedure.METHODS: Zucker diabetic fatty rats were randomly assigned to the PIB, sham-operated PIB pair-fed, and ad libitum fed groups. Oral glucose tolerance (GT) and plasm...
Source: Annals of Surgical Treatment and Research - April 15, 2021 Category: Surgery Authors: Soo Min Ahn Woo Jin Hyung Source Type: research

Long-Term Oncological Outcomes of Reduced Three-Port Laparoscopic Gastrectomy for Early-Stage Gastric Carcinoma: a Retrospective Large-Scale Multi-Institutional Study
CONCLUSIONS: Long-term survival after 3- and 5-port LG was comparable in patients with early-stage gastric carcinoma. The 3-port technique requiring limited surgical assistance may be an appropriate surgical option for this patient population.PMID:33854817 | PMC:PMC8019999 | DOI:10.5230/jgc.2021.21.e8 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Han Hong Lee Oh Jeong Ho Seok Seo Min Gew Choi Seong Yeob Ryu Tae Sung Sohn Jae Moon Bae Sung Kim Jun Ho Lee Source Type: research

A Novel Approach for Gastric Cancer Staging in Elderly Patients Based on the Lymph Node Ratio
CONCLUSIONS: LNR staging is more useful than N staging in predicting the prognosis in elderly patients with gastric cancer and may be used as a complement or alternative to N staging.PMID:33854816 | PMC:PMC8020007 | DOI:10.5230/jgc.2021.21.e9 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Joonseon Park Chul Hyo Jeon So Jung Kim Ho Seok Seo Kyo Young Song Han Hong Lee Source Type: research

Adverse Effects of Ligation of an Aberrant Left Hepatic Artery Arising from the Left Gastric Artery during Radical Gastrectomy for Gastric Cancer: a Propensity Score Matching Analysis
J Gastric Cancer. 2021 Mar;21(1):74-83. doi: 10.5230/jgc.2021.21.e6. Epub 2021 Mar 24.ABSTRACTPURPOSE: No consensus exists on whether to preserve or ligate an aberrant left hepatic artery (ALHA), which is the most commonly encountered hepatic arterial variation during gastric surgery. Therefore, we aimed to evaluate the clinical effects of ALHA ligation by analyzing the perioperative outcomes.MATERIALS AND METHODS: We retrospectively reviewed the data of 5,310 patients who underwent subtotal/total gastrectomy for gastric cancer. Patients in whom the ALHA was ligated (n=486) were categorized into 2 groups according to peak ...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Sejin Lee Taeil Son Jeong Ho Song Seohee Choi Minah Cho Yoo Min Kim Hyoung-Il Kim Woo Jin Hyung Source Type: research

Impact of Esophagojejunal Reconstruction without Division of the Mesentery for Total Laparoscopic Total Gastrectomy
CONCLUSIONS: LTG without MD is a safe surgical treatment for upper or middle third gastric cancer. LTG without MD may be an alternative procedure for EJ anastomosis during TLTG.PMID:33854814 | PMC:PMC8019998 | DOI:10.5230/jgc.2021.21.e7 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Chang Seok Ko Jin Ho Jheong In-Seob Lee Beom Su Kim Min-Ju Kim Moon-Won Yoo Source Type: research

Is it Beneficial to Utilize an Articulating Instrument in Single-Port Laparoscopic Gastrectomy?
CONCLUSIONS: The new multi-DOF articulating grasper is feasible and can be used as an alternative for prebent graspers during SP-LDG.PMID:33854812 | PMC:PMC8020002 | DOI:10.5230/jgc.2021.21.e2 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Amy Kim Chang Min Lee Sungsoo Park Source Type: research

Optimal Timing to Assess Drain Amylase Concentration after Elective Gastrectomy
J Gastric Cancer. 2021 Mar;21(1):30-37. doi: 10.5230/jgc.2021.21.e1. Epub 2021 Mar 2.ABSTRACTPURPOSE: While the amylase concentration of the drainage fluid (dAmy) has been reported to be a predictor of postoperative pancreas-related complications (PPRC), the optimal timing for its measurement has not been fully investigated.MATERIALS AND METHODS: The clinicopathological data of 387 patients who underwent elective gastrectomy for gastric cancer were reviewed. Laboratory data, including dAmy on postoperative days 1 (dAmy1) and 3 (dAmy3), and serum C-reactive protein (sCRP) concentrations on postoperative days 1 (sCRP1) and 3...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Tomoyuki Wakahara Kiyonori Kanemitsu Susumu Miura Shinobu Tsuchida Takeshi Iwasaki Mitsuru Sasako Source Type: research

Pancreatic Fistula after D1+/D2 Radical Gastrectomy according to the Updated International Study Group of Pancreatic Surgery Criteria: Risk Factors and Clinical Consequences. Experience of Surgeons with High Caseloads in a Single Surgical Center in Eastern Europe
J Gastric Cancer. 2021 Mar;21(1):16-29. doi: 10.5230/jgc.2021.21.e3. Epub 2021 Mar 18.ABSTRACTPURPOSE: Incidence, risk factors, and clinical consequences of pancreatic fistula (POPF) after D1+/D2 radical gastrectomy have not been well investigated in Western patients, particularly those from Eastern Europe.MATERIALS AND METHODS: A total of 358 D1+/D2 radical gastrectomies were performed by surgeons with high caseloads in a single surgical center from 2002 to 2017. A retrospective analysis of data that were prospectively gathered in an electronic database was performed. POPF was defined and graded according to the Internati...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Alexandru Martiniuc Traian Dumitrascu Mihnea Ionescu Stefan Tudor Monica Lacatus Vlad Herlea Catalin Vasilescu Source Type: research

Intraoperative Tumor Localization of Early Gastric Cancers
J Gastric Cancer. 2021 Mar;21(1):4-15. doi: 10.5230/jgc.2021.21.e4. Epub 2021 Mar 23.ABSTRACTRecently, endoscopic screening systems have enabled the diagnosis of gastric cancer in the early stages. Early gastric cancer (EGC) is typically characterized by a shallow invasion depth and small size, which can hinder localization of EGC tumors during laparoscopic surgery. Here, we review nine recently reported tumor localization methods for the laparoscopic resection of EGCs. Preoperative dye or blood tattooing has the disadvantage of spreading. Preoperative 3-dimensional computed tomography reconstruction is not performed in re...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Sang-Ho Jeong Kyung Won Seo Jae-Seok Min Source Type: research

Beneficial effects of proximal intestinal bypass reconstruction on glucose metabolism in a type 2 diabetes animal model: a possible reconstruction strategy for diabetic gastric cancer patients
Ann Surg Treat Res. 2021 Apr;100(4):218-227. doi: 10.4174/astr.2021.100.4.218. Epub 2021 Mar 30.ABSTRACTPURPOSE: Proximal intestinal bypass (PIB), such as Billroth II or Roux-en-Y gastrojejunostomy after curative distal gastrectomy for gastric cancer induces beneficial effects on glycemic control in patients with type 2 diabetes. We aimed to characterize the long-term evolution of pancreatic beta cells and insulin signaling in target tissue after a PIB procedure.METHODS: Zucker diabetic fatty rats were randomly assigned to the PIB, sham-operated PIB pair-fed, and ad libitum fed groups. Oral glucose tolerance (GT) and plasm...
Source: Annals of Surgical Treatment and Research - April 15, 2021 Category: Surgery Authors: Soo Min Ahn Woo Jin Hyung Source Type: research

Long-Term Oncological Outcomes of Reduced Three-Port Laparoscopic Gastrectomy for Early-Stage Gastric Carcinoma: a Retrospective Large-Scale Multi-Institutional Study
CONCLUSIONS: Long-term survival after 3- and 5-port LG was comparable in patients with early-stage gastric carcinoma. The 3-port technique requiring limited surgical assistance may be an appropriate surgical option for this patient population.PMID:33854817 | PMC:PMC8019999 | DOI:10.5230/jgc.2021.21.e8 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Han Hong Lee Oh Jeong Ho Seok Seo Min Gew Choi Seong Yeob Ryu Tae Sung Sohn Jae Moon Bae Sung Kim Jun Ho Lee Source Type: research

A Novel Approach for Gastric Cancer Staging in Elderly Patients Based on the Lymph Node Ratio
CONCLUSIONS: LNR staging is more useful than N staging in predicting the prognosis in elderly patients with gastric cancer and may be used as a complement or alternative to N staging.PMID:33854816 | PMC:PMC8020007 | DOI:10.5230/jgc.2021.21.e9 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Joonseon Park Chul Hyo Jeon So Jung Kim Ho Seok Seo Kyo Young Song Han Hong Lee Source Type: research

Adverse Effects of Ligation of an Aberrant Left Hepatic Artery Arising from the Left Gastric Artery during Radical Gastrectomy for Gastric Cancer: a Propensity Score Matching Analysis
J Gastric Cancer. 2021 Mar;21(1):74-83. doi: 10.5230/jgc.2021.21.e6. Epub 2021 Mar 24.ABSTRACTPURPOSE: No consensus exists on whether to preserve or ligate an aberrant left hepatic artery (ALHA), which is the most commonly encountered hepatic arterial variation during gastric surgery. Therefore, we aimed to evaluate the clinical effects of ALHA ligation by analyzing the perioperative outcomes.MATERIALS AND METHODS: We retrospectively reviewed the data of 5,310 patients who underwent subtotal/total gastrectomy for gastric cancer. Patients in whom the ALHA was ligated (n=486) were categorized into 2 groups according to peak ...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Sejin Lee Taeil Son Jeong Ho Song Seohee Choi Minah Cho Yoo Min Kim Hyoung-Il Kim Woo Jin Hyung Source Type: research

Impact of Esophagojejunal Reconstruction without Division of the Mesentery for Total Laparoscopic Total Gastrectomy
CONCLUSIONS: LTG without MD is a safe surgical treatment for upper or middle third gastric cancer. LTG without MD may be an alternative procedure for EJ anastomosis during TLTG.PMID:33854814 | PMC:PMC8019998 | DOI:10.5230/jgc.2021.21.e7 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Chang Seok Ko Jin Ho Jheong In-Seob Lee Beom Su Kim Min-Ju Kim Moon-Won Yoo Source Type: research

Is it Beneficial to Utilize an Articulating Instrument in Single-Port Laparoscopic Gastrectomy?
CONCLUSIONS: The new multi-DOF articulating grasper is feasible and can be used as an alternative for prebent graspers during SP-LDG.PMID:33854812 | PMC:PMC8020002 | DOI:10.5230/jgc.2021.21.e2 (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Amy Kim Chang Min Lee Sungsoo Park Source Type: research

Optimal Timing to Assess Drain Amylase Concentration after Elective Gastrectomy
J Gastric Cancer. 2021 Mar;21(1):30-37. doi: 10.5230/jgc.2021.21.e1. Epub 2021 Mar 2.ABSTRACTPURPOSE: While the amylase concentration of the drainage fluid (dAmy) has been reported to be a predictor of postoperative pancreas-related complications (PPRC), the optimal timing for its measurement has not been fully investigated.MATERIALS AND METHODS: The clinicopathological data of 387 patients who underwent elective gastrectomy for gastric cancer were reviewed. Laboratory data, including dAmy on postoperative days 1 (dAmy1) and 3 (dAmy3), and serum C-reactive protein (sCRP) concentrations on postoperative days 1 (sCRP1) and 3...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Tomoyuki Wakahara Kiyonori Kanemitsu Susumu Miura Shinobu Tsuchida Takeshi Iwasaki Mitsuru Sasako Source Type: research

Pancreatic Fistula after D1+/D2 Radical Gastrectomy according to the Updated International Study Group of Pancreatic Surgery Criteria: Risk Factors and Clinical Consequences. Experience of Surgeons with High Caseloads in a Single Surgical Center in Eastern Europe
J Gastric Cancer. 2021 Mar;21(1):16-29. doi: 10.5230/jgc.2021.21.e3. Epub 2021 Mar 18.ABSTRACTPURPOSE: Incidence, risk factors, and clinical consequences of pancreatic fistula (POPF) after D1+/D2 radical gastrectomy have not been well investigated in Western patients, particularly those from Eastern Europe.MATERIALS AND METHODS: A total of 358 D1+/D2 radical gastrectomies were performed by surgeons with high caseloads in a single surgical center from 2002 to 2017. A retrospective analysis of data that were prospectively gathered in an electronic database was performed. POPF was defined and graded according to the Internati...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Alexandru Martiniuc Traian Dumitrascu Mihnea Ionescu Stefan Tudor Monica Lacatus Vlad Herlea Catalin Vasilescu Source Type: research

Intraoperative Tumor Localization of Early Gastric Cancers
J Gastric Cancer. 2021 Mar;21(1):4-15. doi: 10.5230/jgc.2021.21.e4. Epub 2021 Mar 23.ABSTRACTRecently, endoscopic screening systems have enabled the diagnosis of gastric cancer in the early stages. Early gastric cancer (EGC) is typically characterized by a shallow invasion depth and small size, which can hinder localization of EGC tumors during laparoscopic surgery. Here, we review nine recently reported tumor localization methods for the laparoscopic resection of EGCs. Preoperative dye or blood tattooing has the disadvantage of spreading. Preoperative 3-dimensional computed tomography reconstruction is not performed in re...
Source: Journal of Gastric Cancer - April 15, 2021 Category: Gastroenterology Authors: Sang-Ho Jeong Kyung Won Seo Jae-Seok Min Source Type: research

Beneficial effects of proximal intestinal bypass reconstruction on glucose metabolism in a type 2 diabetes animal model: a possible reconstruction strategy for diabetic gastric cancer patients
Ann Surg Treat Res. 2021 Apr;100(4):218-227. doi: 10.4174/astr.2021.100.4.218. Epub 2021 Mar 30.ABSTRACTPURPOSE: Proximal intestinal bypass (PIB), such as Billroth II or Roux-en-Y gastrojejunostomy after curative distal gastrectomy for gastric cancer induces beneficial effects on glycemic control in patients with type 2 diabetes. We aimed to characterize the long-term evolution of pancreatic beta cells and insulin signaling in target tissue after a PIB procedure.METHODS: Zucker diabetic fatty rats were randomly assigned to the PIB, sham-operated PIB pair-fed, and ad libitum fed groups. Oral glucose tolerance (GT) and plasm...
Source: Annals of Surgical Treatment and Research - April 15, 2021 Category: Surgery Authors: Soo Min Ahn Woo Jin Hyung Source Type: research