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5 "Stomach neoplasms"
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Review article
Gastric cancer and metabolic syndrome
Hyeong Ho Jo
Kosin Med J. 2024;39(1):26-34.   Published online March 22, 2024
DOI: https://doi.org/10.7180/kmj.24.108
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Abstract PDFPubReader   ePub   
Gastric cancer (GC), a prevalent disease in Asian countries, presents a substantial global health challenge. The risk factors for GC include Helicobacter pylori infection, diet, smoking, alcohol, and metabolic syndrome (MetS). This review meticulously examines the intricate connections between MetS and GC, focusing on visceral adipocytes, hormonal factors, obesity, and their impact on survival outcomes. Visceral adipocytes, which secrete inflammatory cytokines and hormones, play a pivotal role in influencing cancer development. Hormonal factors demonstrate nuanced associations with specific GC subtypes, underscoring the complexity of their impact. Large-scale studies exploring obesity-related factors reveal sex-specific nuances and underscore the importance of considering overall weight and body composition. Furthermore, the review explores the impact of eradication therapy for H. pylori infection, which is the most significant factor in the onset of GC, on the components of MetS. Additionally, the influence of MetS on postoperative outcomes and survival in GC patients highlights the interplay between therapeutic interventions and lifestyle factors. This comprehensive exploration sheds light on the multifaceted relationship between MetS and GC, providing valuable insights for future research and preventive strategies.
Original article
Intraoperative tumor localization using a titanium ring strip in totally laparoscopic distal gastrectomy for middle-third gastric cancer
Jae-Kyun Park, Chang-In Choi, Tae Yong Jeon, Hyuk Jae Jung, Si Hak Lee, Sun Hwi Hwang, Dae-Hwan Kim
Kosin Med J. 2023;38(2):126-133.   Published online June 23, 2023
DOI: https://doi.org/10.7180/kmj.23.113
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Abstract PDFPubReader   ePub   
Background
This study presents a novel technical tip for intraoperative tumor localization and determination of the proximal resection line using a titanium ring strip for totally laparoscopic distal gastrectomy in patients with middle-third gastric cancer and describes the short-term results of its application.
Methods
In total, 42 patients with middle-third gastric cancer who underwent intraoperative tumor localization using a titanium ring strip and determination of the proximal resection line through intraoperative radiography between January 2020 and December 2021 were enrolled in this study. We retrospectively analyzed patients’ prospectively collected clinical, pathological, and surgical data.
Results
Twenty-six men and 16 women with a mean age of 58.3±12.5 years were enrolled. The mean operation time and estimated blood loss were 212.6±43.0 minutes and 122.4±77.6 mL, respectively. The lengths of the proximal and distal resection margin were 2.0±0.4 cm (range, 0.8–3.7 cm) and 10.5±4.1 cm (range, 0.4–20.4 cm), respectively. Roux-en-Y anastomosis was performed in 30 patients, while Billroth II with Braun anastomosis was performed in 12 patients. There were no procedure-related complications, and the mean postoperative hospital stay was 7.2±1.9 days. For all patients, the negative proximal resection margin was confirmed by postoperative pathological examinations.
Conclusions
Intraoperative tumor localization and determination of the proximal resection line using a titanium ring strip is a useful alternative method that can be easily and safely performed. This method is especially useful for patients with middle-third gastric cancer requiring an appropriate proximal resection margin.
Case reports
Common Hepatic Artery Originating from Left Gastric Artery: A Rare Variant Encountered in Gastric Cancer Surgery
Chang In Choi, Tae Yong Jeon
Kosin Med J. 2018;33(3):463-467.   Published online December 31, 2018
DOI: https://doi.org/10.7180/kmj.2018.33.3.463
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  • 1 Citations
Abstract PDFPubReader   

The hepatic artery can have numerous variations. However, a common hepatic artery originating from the left gastric artery and the entire hepatic blood supply furnished by the left gastric artery is an extremely rare anomaly. We encountered this anomaly in a patient with advanced gastric cancer. A surgeon should recognize this image appearance and identify the anomaly. Without knowledge of this anomaly and given the strategy for extensive lesser sac dissection generally employed during gastric cancer surgery, a surgeon could easily inadvertently divide this vessel, resulting in critical liver damage. We report a case of common hepatic artery originating from left gastric artery and review of the literatures.

Citations

Citations to this article as recorded by  
  • Replaced common hepatic artery from left gastric artery during pancreatico‐duodenectomy; insight holds the key
    Sunita Gupta, Sri Hari Priya Vemulakonda, Spruha Punati, Tara Prasad Tripathy, Ranjan Kumar Patel, Tanmay Dutta, Bramhadatta Pattnaik
    ANZ Journal of Surgery.2024;[Epub]     CrossRef
A Case of Retroperitoneal Fibrosis Secondary to Metastatic Stomach Cancer
Jong Chul Kim, Hyun Yul Rhew
The Journal of Kosin Medical College. 1992;8(1):87-92.
  • 435 View
  • 1 Download
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Original article
Relationship of Histologic Types of Early Gastric Cancer and Types of Gastric Dysplasia
Hee Kyung Chang, Man-Ha Hur
The Journal of Kosin Medical College. 1992;8(2):135-156.
  • 359 View
  • 0 Download
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