Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach
Background Gastric cancers located within the upper-third of the stomach (UGC), especially the esophagogastric junction GC (EGJGC), have distinct clinicopathological features due to their potential for multidirectional lymphatic spread. In this study, we investigated the clinical significance of hia...
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Gespeichert in:
| Autor*in: |
Maruyama, Suguru [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2019 |
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| Anmerkung: |
© Société Internationale de Chirurgie 2019 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 44(2019), 3 vom: 21. Okt., Seite 863-868 |
|---|---|
| Übergeordnetes Werk: |
volume:44 ; year:2019 ; number:3 ; day:21 ; month:10 ; pages:863-868 |
| Links: |
|---|
| DOI / URN: |
10.1007/s00268-019-05236-z |
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SPR003474623 |
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| 520 | |a Background Gastric cancers located within the upper-third of the stomach (UGC), especially the esophagogastric junction GC (EGJGC), have distinct clinicopathological features due to their potential for multidirectional lymphatic spread. In this study, we investigated the clinical significance of hiatal hernias (HH) in patients with UGC, including EGJGC. Methods In this retrospective study, we assessed status of HH in 147 patients with UGC who underwent curative resection at our hospital and examined the correlation between the presence of HH (+) and multiple clinicopathological factors. Results Thirty-four patients (23%) were HH (+). However, we found no significant correlation between HH (+) and clinicopathological factors. HH (+) patients frequently developed lymph node recurrences. Prognosis was significantly better in patients with UGC and HH (−), compared to those with UGC and HH (+). Similarly, EGJGC patients who were HH (−) showed superior survival compared to HH (+) patients. Multivariate analysis found that the HH (+) (p = 0.004), histological type (p = 0.029), and nodal stage (p = 0.034) were independent prognostic factors. Conclusions The presence of HH might affect lymphatic spread of tumor cells, and consequently prognosis of patients with UGC. Therefore, special attention is needed in developing surgical and postoperative strategies for such patients with UGC who are HH (+). | ||
| 700 | 1 | |a Kawaguchi, Yoshihiko |4 aut | |
| 700 | 1 | |a Akaike, Hidenori |4 aut | |
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| 700 | 1 | |a Shimizu, Hiroki |4 aut | |
| 700 | 1 | |a Furuya, Shinji |4 aut | |
| 700 | 1 | |a Hosomura, Naohiro |4 aut | |
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| 700 | 1 | |a Inoue, Shingo |4 aut | |
| 700 | 1 | |a Kono, Hiroshi |4 aut | |
| 700 | 1 | |a Ichikawa, Daisuke |4 aut | |
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10.1007/s00268-019-05236-z doi (DE-627)SPR003474623 (SPR)s00268-019-05236-z-e DE-627 ger DE-627 rakwb eng Maruyama, Suguru verfasserin aut Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2019 Background Gastric cancers located within the upper-third of the stomach (UGC), especially the esophagogastric junction GC (EGJGC), have distinct clinicopathological features due to their potential for multidirectional lymphatic spread. In this study, we investigated the clinical significance of hiatal hernias (HH) in patients with UGC, including EGJGC. Methods In this retrospective study, we assessed status of HH in 147 patients with UGC who underwent curative resection at our hospital and examined the correlation between the presence of HH (+) and multiple clinicopathological factors. Results Thirty-four patients (23%) were HH (+). However, we found no significant correlation between HH (+) and clinicopathological factors. HH (+) patients frequently developed lymph node recurrences. Prognosis was significantly better in patients with UGC and HH (−), compared to those with UGC and HH (+). Similarly, EGJGC patients who were HH (−) showed superior survival compared to HH (+) patients. Multivariate analysis found that the HH (+) (p = 0.004), histological type (p = 0.029), and nodal stage (p = 0.034) were independent prognostic factors. Conclusions The presence of HH might affect lymphatic spread of tumor cells, and consequently prognosis of patients with UGC. Therefore, special attention is needed in developing surgical and postoperative strategies for such patients with UGC who are HH (+). Kawaguchi, Yoshihiko aut Akaike, Hidenori aut Shiraishi, Kensuke aut Saito, Ryo aut Shimizu, Hiroki aut Furuya, Shinji aut Hosomura, Naohiro aut Amemiya, Hidetake aut Kawaida, Hiromichi aut Sudo, Makoto aut Inoue, Shingo aut Kono, Hiroshi aut Ichikawa, Daisuke aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 44(2019), 3 vom: 21. Okt., Seite 863-868 (DE-627)SPR003391159 nnns volume:44 year:2019 number:3 day:21 month:10 pages:863-868 https://dx.doi.org/10.1007/s00268-019-05236-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 44 2019 3 21 10 863-868 |
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10.1007/s00268-019-05236-z doi (DE-627)SPR003474623 (SPR)s00268-019-05236-z-e DE-627 ger DE-627 rakwb eng Maruyama, Suguru verfasserin aut Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2019 Background Gastric cancers located within the upper-third of the stomach (UGC), especially the esophagogastric junction GC (EGJGC), have distinct clinicopathological features due to their potential for multidirectional lymphatic spread. In this study, we investigated the clinical significance of hiatal hernias (HH) in patients with UGC, including EGJGC. Methods In this retrospective study, we assessed status of HH in 147 patients with UGC who underwent curative resection at our hospital and examined the correlation between the presence of HH (+) and multiple clinicopathological factors. Results Thirty-four patients (23%) were HH (+). However, we found no significant correlation between HH (+) and clinicopathological factors. HH (+) patients frequently developed lymph node recurrences. Prognosis was significantly better in patients with UGC and HH (−), compared to those with UGC and HH (+). Similarly, EGJGC patients who were HH (−) showed superior survival compared to HH (+) patients. Multivariate analysis found that the HH (+) (p = 0.004), histological type (p = 0.029), and nodal stage (p = 0.034) were independent prognostic factors. Conclusions The presence of HH might affect lymphatic spread of tumor cells, and consequently prognosis of patients with UGC. Therefore, special attention is needed in developing surgical and postoperative strategies for such patients with UGC who are HH (+). Kawaguchi, Yoshihiko aut Akaike, Hidenori aut Shiraishi, Kensuke aut Saito, Ryo aut Shimizu, Hiroki aut Furuya, Shinji aut Hosomura, Naohiro aut Amemiya, Hidetake aut Kawaida, Hiromichi aut Sudo, Makoto aut Inoue, Shingo aut Kono, Hiroshi aut Ichikawa, Daisuke aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 44(2019), 3 vom: 21. Okt., Seite 863-868 (DE-627)SPR003391159 nnns volume:44 year:2019 number:3 day:21 month:10 pages:863-868 https://dx.doi.org/10.1007/s00268-019-05236-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 44 2019 3 21 10 863-868 |
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10.1007/s00268-019-05236-z doi (DE-627)SPR003474623 (SPR)s00268-019-05236-z-e DE-627 ger DE-627 rakwb eng Maruyama, Suguru verfasserin aut Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2019 Background Gastric cancers located within the upper-third of the stomach (UGC), especially the esophagogastric junction GC (EGJGC), have distinct clinicopathological features due to their potential for multidirectional lymphatic spread. In this study, we investigated the clinical significance of hiatal hernias (HH) in patients with UGC, including EGJGC. Methods In this retrospective study, we assessed status of HH in 147 patients with UGC who underwent curative resection at our hospital and examined the correlation between the presence of HH (+) and multiple clinicopathological factors. Results Thirty-four patients (23%) were HH (+). However, we found no significant correlation between HH (+) and clinicopathological factors. HH (+) patients frequently developed lymph node recurrences. Prognosis was significantly better in patients with UGC and HH (−), compared to those with UGC and HH (+). Similarly, EGJGC patients who were HH (−) showed superior survival compared to HH (+) patients. Multivariate analysis found that the HH (+) (p = 0.004), histological type (p = 0.029), and nodal stage (p = 0.034) were independent prognostic factors. Conclusions The presence of HH might affect lymphatic spread of tumor cells, and consequently prognosis of patients with UGC. Therefore, special attention is needed in developing surgical and postoperative strategies for such patients with UGC who are HH (+). Kawaguchi, Yoshihiko aut Akaike, Hidenori aut Shiraishi, Kensuke aut Saito, Ryo aut Shimizu, Hiroki aut Furuya, Shinji aut Hosomura, Naohiro aut Amemiya, Hidetake aut Kawaida, Hiromichi aut Sudo, Makoto aut Inoue, Shingo aut Kono, Hiroshi aut Ichikawa, Daisuke aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 44(2019), 3 vom: 21. Okt., Seite 863-868 (DE-627)SPR003391159 nnns volume:44 year:2019 number:3 day:21 month:10 pages:863-868 https://dx.doi.org/10.1007/s00268-019-05236-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 44 2019 3 21 10 863-868 |
| allfieldsGer |
10.1007/s00268-019-05236-z doi (DE-627)SPR003474623 (SPR)s00268-019-05236-z-e DE-627 ger DE-627 rakwb eng Maruyama, Suguru verfasserin aut Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2019 Background Gastric cancers located within the upper-third of the stomach (UGC), especially the esophagogastric junction GC (EGJGC), have distinct clinicopathological features due to their potential for multidirectional lymphatic spread. In this study, we investigated the clinical significance of hiatal hernias (HH) in patients with UGC, including EGJGC. Methods In this retrospective study, we assessed status of HH in 147 patients with UGC who underwent curative resection at our hospital and examined the correlation between the presence of HH (+) and multiple clinicopathological factors. Results Thirty-four patients (23%) were HH (+). However, we found no significant correlation between HH (+) and clinicopathological factors. HH (+) patients frequently developed lymph node recurrences. Prognosis was significantly better in patients with UGC and HH (−), compared to those with UGC and HH (+). Similarly, EGJGC patients who were HH (−) showed superior survival compared to HH (+) patients. Multivariate analysis found that the HH (+) (p = 0.004), histological type (p = 0.029), and nodal stage (p = 0.034) were independent prognostic factors. Conclusions The presence of HH might affect lymphatic spread of tumor cells, and consequently prognosis of patients with UGC. Therefore, special attention is needed in developing surgical and postoperative strategies for such patients with UGC who are HH (+). Kawaguchi, Yoshihiko aut Akaike, Hidenori aut Shiraishi, Kensuke aut Saito, Ryo aut Shimizu, Hiroki aut Furuya, Shinji aut Hosomura, Naohiro aut Amemiya, Hidetake aut Kawaida, Hiromichi aut Sudo, Makoto aut Inoue, Shingo aut Kono, Hiroshi aut Ichikawa, Daisuke aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 44(2019), 3 vom: 21. Okt., Seite 863-868 (DE-627)SPR003391159 nnns volume:44 year:2019 number:3 day:21 month:10 pages:863-868 https://dx.doi.org/10.1007/s00268-019-05236-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 44 2019 3 21 10 863-868 |
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10.1007/s00268-019-05236-z doi (DE-627)SPR003474623 (SPR)s00268-019-05236-z-e DE-627 ger DE-627 rakwb eng Maruyama, Suguru verfasserin aut Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2019 Background Gastric cancers located within the upper-third of the stomach (UGC), especially the esophagogastric junction GC (EGJGC), have distinct clinicopathological features due to their potential for multidirectional lymphatic spread. In this study, we investigated the clinical significance of hiatal hernias (HH) in patients with UGC, including EGJGC. Methods In this retrospective study, we assessed status of HH in 147 patients with UGC who underwent curative resection at our hospital and examined the correlation between the presence of HH (+) and multiple clinicopathological factors. Results Thirty-four patients (23%) were HH (+). However, we found no significant correlation between HH (+) and clinicopathological factors. HH (+) patients frequently developed lymph node recurrences. Prognosis was significantly better in patients with UGC and HH (−), compared to those with UGC and HH (+). Similarly, EGJGC patients who were HH (−) showed superior survival compared to HH (+) patients. Multivariate analysis found that the HH (+) (p = 0.004), histological type (p = 0.029), and nodal stage (p = 0.034) were independent prognostic factors. Conclusions The presence of HH might affect lymphatic spread of tumor cells, and consequently prognosis of patients with UGC. Therefore, special attention is needed in developing surgical and postoperative strategies for such patients with UGC who are HH (+). Kawaguchi, Yoshihiko aut Akaike, Hidenori aut Shiraishi, Kensuke aut Saito, Ryo aut Shimizu, Hiroki aut Furuya, Shinji aut Hosomura, Naohiro aut Amemiya, Hidetake aut Kawaida, Hiromichi aut Sudo, Makoto aut Inoue, Shingo aut Kono, Hiroshi aut Ichikawa, Daisuke aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 44(2019), 3 vom: 21. Okt., Seite 863-868 (DE-627)SPR003391159 nnns volume:44 year:2019 number:3 day:21 month:10 pages:863-868 https://dx.doi.org/10.1007/s00268-019-05236-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 44 2019 3 21 10 863-868 |
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Maruyama, Suguru Kawaguchi, Yoshihiko Akaike, Hidenori Shiraishi, Kensuke Saito, Ryo Shimizu, Hiroki Furuya, Shinji Hosomura, Naohiro Amemiya, Hidetake Kawaida, Hiromichi Sudo, Makoto Inoue, Shingo Kono, Hiroshi Ichikawa, Daisuke |
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Maruyama, Suguru |
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10.1007/s00268-019-05236-z |
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prognostic significance of hiatal hernia in patients with gastric cancer located within the upper-third of the stomach |
| title_auth |
Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach |
| abstract |
Background Gastric cancers located within the upper-third of the stomach (UGC), especially the esophagogastric junction GC (EGJGC), have distinct clinicopathological features due to their potential for multidirectional lymphatic spread. In this study, we investigated the clinical significance of hiatal hernias (HH) in patients with UGC, including EGJGC. Methods In this retrospective study, we assessed status of HH in 147 patients with UGC who underwent curative resection at our hospital and examined the correlation between the presence of HH (+) and multiple clinicopathological factors. Results Thirty-four patients (23%) were HH (+). However, we found no significant correlation between HH (+) and clinicopathological factors. HH (+) patients frequently developed lymph node recurrences. Prognosis was significantly better in patients with UGC and HH (−), compared to those with UGC and HH (+). Similarly, EGJGC patients who were HH (−) showed superior survival compared to HH (+) patients. Multivariate analysis found that the HH (+) (p = 0.004), histological type (p = 0.029), and nodal stage (p = 0.034) were independent prognostic factors. Conclusions The presence of HH might affect lymphatic spread of tumor cells, and consequently prognosis of patients with UGC. Therefore, special attention is needed in developing surgical and postoperative strategies for such patients with UGC who are HH (+). © Société Internationale de Chirurgie 2019 |
| abstractGer |
Background Gastric cancers located within the upper-third of the stomach (UGC), especially the esophagogastric junction GC (EGJGC), have distinct clinicopathological features due to their potential for multidirectional lymphatic spread. In this study, we investigated the clinical significance of hiatal hernias (HH) in patients with UGC, including EGJGC. Methods In this retrospective study, we assessed status of HH in 147 patients with UGC who underwent curative resection at our hospital and examined the correlation between the presence of HH (+) and multiple clinicopathological factors. Results Thirty-four patients (23%) were HH (+). However, we found no significant correlation between HH (+) and clinicopathological factors. HH (+) patients frequently developed lymph node recurrences. Prognosis was significantly better in patients with UGC and HH (−), compared to those with UGC and HH (+). Similarly, EGJGC patients who were HH (−) showed superior survival compared to HH (+) patients. Multivariate analysis found that the HH (+) (p = 0.004), histological type (p = 0.029), and nodal stage (p = 0.034) were independent prognostic factors. Conclusions The presence of HH might affect lymphatic spread of tumor cells, and consequently prognosis of patients with UGC. Therefore, special attention is needed in developing surgical and postoperative strategies for such patients with UGC who are HH (+). © Société Internationale de Chirurgie 2019 |
| abstract_unstemmed |
Background Gastric cancers located within the upper-third of the stomach (UGC), especially the esophagogastric junction GC (EGJGC), have distinct clinicopathological features due to their potential for multidirectional lymphatic spread. In this study, we investigated the clinical significance of hiatal hernias (HH) in patients with UGC, including EGJGC. Methods In this retrospective study, we assessed status of HH in 147 patients with UGC who underwent curative resection at our hospital and examined the correlation between the presence of HH (+) and multiple clinicopathological factors. Results Thirty-four patients (23%) were HH (+). However, we found no significant correlation between HH (+) and clinicopathological factors. HH (+) patients frequently developed lymph node recurrences. Prognosis was significantly better in patients with UGC and HH (−), compared to those with UGC and HH (+). Similarly, EGJGC patients who were HH (−) showed superior survival compared to HH (+) patients. Multivariate analysis found that the HH (+) (p = 0.004), histological type (p = 0.029), and nodal stage (p = 0.034) were independent prognostic factors. Conclusions The presence of HH might affect lymphatic spread of tumor cells, and consequently prognosis of patients with UGC. Therefore, special attention is needed in developing surgical and postoperative strategies for such patients with UGC who are HH (+). © Société Internationale de Chirurgie 2019 |
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Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach |
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