How do we manage the gastrectomy for gastric cancer after coronary artery bypass grafting using the right gastroepiploic artery? Report ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2007-05-17

AUTHORS

Yukiko Konishi, Koichi Suzuki, Hidetoshi Wada, Hiroshi Watanabe, Hiroyuki Ogura, Yuno Sugamori, Abul Hasan Muhammad Bashar, Katsushi Yamashita, Toshihiko Kobayashi, Teruhisa Kazui

ABSTRACT

BackgroundRecently, the right gastroepiploic artery (RGEA) has been used in coronary artery bypass grafting (CABG) as an alternative arterial graft. Unfortunately, an increased incidence of gastric cancers has been reported after CABG using the RGEA. Handling of the RGEA during gastrectomy in these patients may cause lethal complications, which sometimes reduces the feasibility of curative dissection of lymph nodes at the base of the graft.Case presentationsWe describe two cases of gastric cancer undergoing gastrectomy after CABG with the use of RGEA. To avoid the potentially fatal coronary event during gastrectomy, safe handling of the conduit including preparations for injuries and prevention of vessel spasm was performed in both cases, accompanied by an adequate monitoring of the systemic circulation. Intraoperative frozen section examination showed no lymph node metastasis around the graft in any of the cases; therefore, complete lymph node dissection at the base of the graft was not undertaken. No complications occurred during the operation. In addition to these two cases, twenty-four cases reported in the literatures were reviewed (a total of 26 cases). Ten early and 16 advanced gastric cancers were included. Among the 16 advanced gastric cancer cases, an alternative graft was employed in 8 due to the resection of an original graft to complete lymph node dissection. Mere handling of a graft often caused lethal complications suggesting that the operation should be completed by isolation of the graft. A pedicled graft harvesting via the ante-gastric route was popular. However, a skeletonized harvesting with resection of the pyloric branches of the RGEA would be better because this would interrupt the original lymph flow, which could eliminate the need for lymph node dissection and graft isolation. Among the 10 cases having early gastric cancers, 6 were found within 1.5 years after CABG. Early detection in these 6 cases was possible due to the use of gastric fiberscopic examination before and after CABG, which gave them opportunities to receive a less extensive operation such as endoscopic mucosal resection.ConclusionAdequate intraoperative care as well as an optimal lymph node dissection considering the graft harvesting method at the first CABG leads to successful gastrectomy after CABG using the RGEA graft. Therefore, this operation should be carried out with careful management by both gastrointestinal and cardiovascular surgeons. More... »

PAGES

54

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1477-7819-5-54

DOI

http://dx.doi.org/10.1186/1477-7819-5-54

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1002697523

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17506906


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1112", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Oncology and Carcinogenesis", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adenocarcinoma", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Anastomosis, Roux-en-Y", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Angiography", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Biopsy, Needle", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Coronary Artery Bypass", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Coronary Disease", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Follow-Up Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Gastrectomy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Gastroepiploic Artery", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Gastroscopy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Immunohistochemistry", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Neoplasm Staging", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Risk Assessment", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Stomach", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Stomach Neoplasms", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Treatment Outcome", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan", 
          "id": "http://www.grid.ac/institutes/grid.411951.9", 
          "name": [
            "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Konishi", 
        "givenName": "Yukiko", 
        "id": "sg:person.01330777445.97", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01330777445.97"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan", 
          "id": "http://www.grid.ac/institutes/grid.411951.9", 
          "name": [
            "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Suzuki", 
        "givenName": "Koichi", 
        "id": "sg:person.011217265234.09", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011217265234.09"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan", 
          "id": "http://www.grid.ac/institutes/grid.411951.9", 
          "name": [
            "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Wada", 
        "givenName": "Hidetoshi", 
        "id": "sg:person.0645325630.34", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0645325630.34"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan", 
          "id": "http://www.grid.ac/institutes/grid.411951.9", 
          "name": [
            "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Watanabe", 
        "givenName": "Hiroshi", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan", 
          "id": "http://www.grid.ac/institutes/grid.411951.9", 
          "name": [
            "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ogura", 
        "givenName": "Hiroyuki", 
        "id": "sg:person.01314727747.43", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01314727747.43"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan", 
          "id": "http://www.grid.ac/institutes/grid.411951.9", 
          "name": [
            "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Sugamori", 
        "givenName": "Yuno", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan", 
          "id": "http://www.grid.ac/institutes/grid.411951.9", 
          "name": [
            "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Bashar", 
        "givenName": "Abul Hasan Muhammad", 
        "id": "sg:person.01320054303.52", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01320054303.52"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan", 
          "id": "http://www.grid.ac/institutes/grid.411951.9", 
          "name": [
            "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Yamashita", 
        "givenName": "Katsushi", 
        "id": "sg:person.01014114370.01", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01014114370.01"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan", 
          "id": "http://www.grid.ac/institutes/grid.411951.9", 
          "name": [
            "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kobayashi", 
        "givenName": "Toshihiko", 
        "id": "sg:person.01174422717.55", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01174422717.55"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan", 
          "id": "http://www.grid.ac/institutes/grid.411951.9", 
          "name": [
            "First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kazui", 
        "givenName": "Teruhisa", 
        "id": "sg:person.01117013143.25", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01117013143.25"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/pl00011681", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030703112", 
          "https://doi.org/10.1007/pl00011681"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00595-002-2727-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025741713", 
          "https://doi.org/10.1007/s00595-002-2727-0"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2007-05-17", 
    "datePublishedReg": "2007-05-17", 
    "description": "BackgroundRecently, the right gastroepiploic artery (RGEA) has been used in coronary artery bypass grafting (CABG) as an alternative arterial graft. Unfortunately, an increased incidence of gastric cancers has been reported after CABG using the RGEA. Handling of the RGEA during gastrectomy in these patients may cause lethal complications, which sometimes reduces the feasibility of curative dissection of lymph nodes at the base of the graft.Case presentationsWe describe two cases of gastric cancer undergoing gastrectomy after CABG with the use of RGEA. To avoid the potentially fatal coronary event during gastrectomy, safe handling of the conduit including preparations for injuries and prevention of vessel spasm was performed in both cases, accompanied by an adequate monitoring of the systemic circulation. Intraoperative frozen section examination showed no lymph node metastasis around the graft in any of the cases; therefore, complete lymph node dissection at the base of the graft was not undertaken. No complications occurred during the operation. In addition to these two cases, twenty-four cases reported in the literatures were reviewed (a total of 26 cases). Ten early and 16 advanced gastric cancers were included. Among the 16 advanced gastric cancer cases, an alternative graft was employed in 8 due to the resection of an original graft to complete lymph node dissection. Mere handling of a graft often caused lethal complications suggesting that the operation should be completed by isolation of the graft. A pedicled graft harvesting via the ante-gastric route was popular. However, a skeletonized harvesting with resection of the pyloric branches of the RGEA would be better because this would interrupt the original lymph flow, which could eliminate the need for lymph node dissection and graft isolation. Among the 10 cases having early gastric cancers, 6 were found within 1.5 years after CABG. Early detection in these 6 cases was possible due to the use of gastric fiberscopic examination before and after CABG, which gave them opportunities to receive a less extensive operation such as endoscopic mucosal resection.ConclusionAdequate intraoperative care as well as an optimal lymph node dissection considering the graft harvesting method at the first CABG leads to successful gastrectomy after CABG using the RGEA graft. Therefore, this operation should be carried out with careful management by both gastrointestinal and cardiovascular surgeons.", 
    "genre": "article", 
    "id": "sg:pub.10.1186/1477-7819-5-54", 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1032056", 
        "issn": [
          "1477-7819"
        ], 
        "name": "World Journal of Surgical Oncology", 
        "publisher": "Springer Nature", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "5"
      }
    ], 
    "keywords": [
      "right gastroepiploic artery", 
      "lymph node dissection", 
      "coronary artery bypass", 
      "node dissection", 
      "gastric cancer", 
      "gastroepiploic artery", 
      "artery bypass", 
      "lethal complication", 
      "optimal lymph node dissection", 
      "complete lymph node dissection", 
      "intraoperative frozen section examination", 
      "alternative arterial graft", 
      "advanced gastric cancer", 
      "frozen section examination", 
      "lymph node metastasis", 
      "endoscopic mucosal resection", 
      "fatal coronary events", 
      "advanced gastric cancer cases", 
      "early gastric cancer", 
      "gastric cancer cases", 
      "curative dissection", 
      "Case presentationsWe", 
      "pyloric branch", 
      "first CABG", 
      "successful gastrectomy", 
      "RGEA graft", 
      "coronary events", 
      "intraoperative care", 
      "lymph nodes", 
      "node metastasis", 
      "mucosal resection", 
      "arterial grafts", 
      "vessel spasm", 
      "original graft", 
      "graft harvesting", 
      "skeletonized harvesting", 
      "CABG", 
      "cancer cases", 
      "fiberscopic examination", 
      "gastrectomy", 
      "systemic circulation", 
      "section examination", 
      "lymph flow", 
      "cardiovascular surgeons", 
      "alternative graft", 
      "graft", 
      "resection", 
      "cancer", 
      "complications", 
      "extensive operations", 
      "early detection", 
      "dissection", 
      "artery", 
      "bypass", 
      "adequate monitoring", 
      "careful management", 
      "examination", 
      "spasm", 
      "patients", 
      "BackgroundRecently", 
      "metastasis", 
      "cases", 
      "injury", 
      "incidence", 
      "surgeons", 
      "prevention", 
      "care", 
      "safe handling", 
      "report", 
      "review", 
      "years", 
      "use", 
      "circulation", 
      "isolation", 
      "management", 
      "literature", 
      "conduit", 
      "handling", 
      "events", 
      "monitoring", 
      "need", 
      "addition", 
      "feasibility", 
      "detection", 
      "operation", 
      "nodes", 
      "preparation", 
      "base", 
      "route", 
      "branches", 
      "opportunities", 
      "method", 
      "flow", 
      "harvesting", 
      "harvesting methods"
    ], 
    "name": "How do we manage the gastrectomy for gastric cancer after coronary artery bypass grafting using the right gastroepiploic artery? Report of two cases and a review of the literature", 
    "pagination": "54", 
    "productId": [
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1002697523"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/1477-7819-5-54"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "17506906"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/1477-7819-5-54", 
      "https://app.dimensions.ai/details/publication/pub.1002697523"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2022-11-24T20:52", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-springernature-scigraph/baseset/20221124/entities/gbq_results/article/article_438.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://doi.org/10.1186/1477-7819-5-54"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1477-7819-5-54'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1477-7819-5-54'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1477-7819-5-54'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1477-7819-5-54'


 

This table displays all metadata directly associated to this object as RDF triples.

304 TRIPLES      21 PREDICATES      142 URIs      132 LITERALS      27 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/1477-7819-5-54 schema:about N112a4b84c48c41ae8a23256cb5f852ac
2 N1476d27008a84e018f23f50ce3af4801
3 N215295116f604e38b3a97ab5d08e04d6
4 N2fc643821f844b4aafbce625cd563afd
5 N395dec66c37348ef8416b8a08374459d
6 N58078a3628a04745950b4b7e55e6ee31
7 N59eff9e7d5d645cfbf133fcc6f0dfb4e
8 N6509c3b718a24b98bd0719d1454af3d1
9 N681d4434c1014fea944ee2ef7c5ea77f
10 N769e356e94c9453ca69a434869b4ce74
11 N7a22cd6710164b52a525098089c5b518
12 N7c3ffe7a23cd406ba64fa61e6f080597
13 N87c85f63c21c41d693ed11789091e88f
14 N9002d9df0c694db9b5be6417133479a5
15 Nd25a13c6ac34494ebfb328c5938f26a8
16 Nd6c810a7665e4c5f999dcef67983b9fc
17 Ne15c9de7eca047b4a1a5db20b2f780fb
18 Ne3a2953aa8794b64abf83e29af380576
19 Ne5f9f0c9686c41ee915dd8199ad8bde7
20 Ne6e9d5707d0b4905816197a4591a2f37
21 anzsrc-for:11
22 anzsrc-for:1112
23 schema:author Nd67f69d232074b9ab94a7af33086baa1
24 schema:citation sg:pub.10.1007/pl00011681
25 sg:pub.10.1007/s00595-002-2727-0
26 schema:datePublished 2007-05-17
27 schema:datePublishedReg 2007-05-17
28 schema:description BackgroundRecently, the right gastroepiploic artery (RGEA) has been used in coronary artery bypass grafting (CABG) as an alternative arterial graft. Unfortunately, an increased incidence of gastric cancers has been reported after CABG using the RGEA. Handling of the RGEA during gastrectomy in these patients may cause lethal complications, which sometimes reduces the feasibility of curative dissection of lymph nodes at the base of the graft.Case presentationsWe describe two cases of gastric cancer undergoing gastrectomy after CABG with the use of RGEA. To avoid the potentially fatal coronary event during gastrectomy, safe handling of the conduit including preparations for injuries and prevention of vessel spasm was performed in both cases, accompanied by an adequate monitoring of the systemic circulation. Intraoperative frozen section examination showed no lymph node metastasis around the graft in any of the cases; therefore, complete lymph node dissection at the base of the graft was not undertaken. No complications occurred during the operation. In addition to these two cases, twenty-four cases reported in the literatures were reviewed (a total of 26 cases). Ten early and 16 advanced gastric cancers were included. Among the 16 advanced gastric cancer cases, an alternative graft was employed in 8 due to the resection of an original graft to complete lymph node dissection. Mere handling of a graft often caused lethal complications suggesting that the operation should be completed by isolation of the graft. A pedicled graft harvesting via the ante-gastric route was popular. However, a skeletonized harvesting with resection of the pyloric branches of the RGEA would be better because this would interrupt the original lymph flow, which could eliminate the need for lymph node dissection and graft isolation. Among the 10 cases having early gastric cancers, 6 were found within 1.5 years after CABG. Early detection in these 6 cases was possible due to the use of gastric fiberscopic examination before and after CABG, which gave them opportunities to receive a less extensive operation such as endoscopic mucosal resection.ConclusionAdequate intraoperative care as well as an optimal lymph node dissection considering the graft harvesting method at the first CABG leads to successful gastrectomy after CABG using the RGEA graft. Therefore, this operation should be carried out with careful management by both gastrointestinal and cardiovascular surgeons.
29 schema:genre article
30 schema:isAccessibleForFree true
31 schema:isPartOf N24b5b9812ee8494eae189c06a4b50b3e
32 Nd421a3e511cc4655ae0d88b733c8c98e
33 sg:journal.1032056
34 schema:keywords BackgroundRecently
35 CABG
36 Case presentationsWe
37 RGEA graft
38 addition
39 adequate monitoring
40 advanced gastric cancer
41 advanced gastric cancer cases
42 alternative arterial graft
43 alternative graft
44 arterial grafts
45 artery
46 artery bypass
47 base
48 branches
49 bypass
50 cancer
51 cancer cases
52 cardiovascular surgeons
53 care
54 careful management
55 cases
56 circulation
57 complete lymph node dissection
58 complications
59 conduit
60 coronary artery bypass
61 coronary events
62 curative dissection
63 detection
64 dissection
65 early detection
66 early gastric cancer
67 endoscopic mucosal resection
68 events
69 examination
70 extensive operations
71 fatal coronary events
72 feasibility
73 fiberscopic examination
74 first CABG
75 flow
76 frozen section examination
77 gastrectomy
78 gastric cancer
79 gastric cancer cases
80 gastroepiploic artery
81 graft
82 graft harvesting
83 handling
84 harvesting
85 harvesting methods
86 incidence
87 injury
88 intraoperative care
89 intraoperative frozen section examination
90 isolation
91 lethal complication
92 literature
93 lymph flow
94 lymph node dissection
95 lymph node metastasis
96 lymph nodes
97 management
98 metastasis
99 method
100 monitoring
101 mucosal resection
102 need
103 node dissection
104 node metastasis
105 nodes
106 operation
107 opportunities
108 optimal lymph node dissection
109 original graft
110 patients
111 preparation
112 prevention
113 pyloric branch
114 report
115 resection
116 review
117 right gastroepiploic artery
118 route
119 safe handling
120 section examination
121 skeletonized harvesting
122 spasm
123 successful gastrectomy
124 surgeons
125 systemic circulation
126 use
127 vessel spasm
128 years
129 schema:name How do we manage the gastrectomy for gastric cancer after coronary artery bypass grafting using the right gastroepiploic artery? Report of two cases and a review of the literature
130 schema:pagination 54
131 schema:productId N3836582b977f48b68e5e4a1bb4d660fa
132 N88c4dd7a70ea4da994cfa11bc5da67c5
133 N9ec16e8feac64e0aa614ca40011db049
134 schema:sameAs https://app.dimensions.ai/details/publication/pub.1002697523
135 https://doi.org/10.1186/1477-7819-5-54
136 schema:sdDatePublished 2022-11-24T20:52
137 schema:sdLicense https://scigraph.springernature.com/explorer/license/
138 schema:sdPublisher N1f60328e35ad424e807f2428a6116f0e
139 schema:url https://doi.org/10.1186/1477-7819-5-54
140 sgo:license sg:explorer/license/
141 sgo:sdDataset articles
142 rdf:type schema:ScholarlyArticle
143 N112a4b84c48c41ae8a23256cb5f852ac schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
144 schema:name Coronary Disease
145 rdf:type schema:DefinedTerm
146 N1476d27008a84e018f23f50ce3af4801 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
147 schema:name Stomach
148 rdf:type schema:DefinedTerm
149 N1f60328e35ad424e807f2428a6116f0e schema:name Springer Nature - SN SciGraph project
150 rdf:type schema:Organization
151 N215295116f604e38b3a97ab5d08e04d6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
152 schema:name Humans
153 rdf:type schema:DefinedTerm
154 N24b5b9812ee8494eae189c06a4b50b3e schema:issueNumber 1
155 rdf:type schema:PublicationIssue
156 N2c929dcbe04f4928a60c4332e2d1b23e rdf:first sg:person.01174422717.55
157 rdf:rest Nea91f7fec85d42c39095f9891ea9f66b
158 N2fc643821f844b4aafbce625cd563afd schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
159 schema:name Middle Aged
160 rdf:type schema:DefinedTerm
161 N3836582b977f48b68e5e4a1bb4d660fa schema:name doi
162 schema:value 10.1186/1477-7819-5-54
163 rdf:type schema:PropertyValue
164 N395dec66c37348ef8416b8a08374459d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
165 schema:name Immunohistochemistry
166 rdf:type schema:DefinedTerm
167 N58078a3628a04745950b4b7e55e6ee31 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
168 schema:name Biopsy, Needle
169 rdf:type schema:DefinedTerm
170 N59eff9e7d5d645cfbf133fcc6f0dfb4e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
171 schema:name Risk Assessment
172 rdf:type schema:DefinedTerm
173 N6509c3b718a24b98bd0719d1454af3d1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
174 schema:name Gastroscopy
175 rdf:type schema:DefinedTerm
176 N681d4434c1014fea944ee2ef7c5ea77f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
177 schema:name Coronary Artery Bypass
178 rdf:type schema:DefinedTerm
179 N6fe7644d914e4fd792a762be49294574 rdf:first sg:person.01014114370.01
180 rdf:rest N2c929dcbe04f4928a60c4332e2d1b23e
181 N769e356e94c9453ca69a434869b4ce74 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
182 schema:name Neoplasm Staging
183 rdf:type schema:DefinedTerm
184 N7a22cd6710164b52a525098089c5b518 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
185 schema:name Follow-Up Studies
186 rdf:type schema:DefinedTerm
187 N7c3ffe7a23cd406ba64fa61e6f080597 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
188 schema:name Gastroepiploic Artery
189 rdf:type schema:DefinedTerm
190 N87c85f63c21c41d693ed11789091e88f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
191 schema:name Gastrectomy
192 rdf:type schema:DefinedTerm
193 N88c4dd7a70ea4da994cfa11bc5da67c5 schema:name pubmed_id
194 schema:value 17506906
195 rdf:type schema:PropertyValue
196 N8cfe883e1c1149f68dd0d3d372b87ca4 rdf:first Nf713e48ac9d84ea5acccb57285200467
197 rdf:rest Nb017f32752714d9fbc47f7b532beb6d9
198 N9002d9df0c694db9b5be6417133479a5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
199 schema:name Angiography
200 rdf:type schema:DefinedTerm
201 N9ec16e8feac64e0aa614ca40011db049 schema:name dimensions_id
202 schema:value pub.1002697523
203 rdf:type schema:PropertyValue
204 Na8d3f373e4bb45bf8c5c51fa4ea4121d rdf:first sg:person.01320054303.52
205 rdf:rest N6fe7644d914e4fd792a762be49294574
206 Nb017f32752714d9fbc47f7b532beb6d9 rdf:first sg:person.01314727747.43
207 rdf:rest Nc92bcd14fc4d4fa4ab3b9125851e4487
208 Nc92bcd14fc4d4fa4ab3b9125851e4487 rdf:first Ncc15cf6d572d4f86aa212fe25d3e71b9
209 rdf:rest Na8d3f373e4bb45bf8c5c51fa4ea4121d
210 Ncc15cf6d572d4f86aa212fe25d3e71b9 schema:affiliation grid-institutes:grid.411951.9
211 schema:familyName Sugamori
212 schema:givenName Yuno
213 rdf:type schema:Person
214 Nd25a13c6ac34494ebfb328c5938f26a8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
215 schema:name Stomach Neoplasms
216 rdf:type schema:DefinedTerm
217 Nd421a3e511cc4655ae0d88b733c8c98e schema:volumeNumber 5
218 rdf:type schema:PublicationVolume
219 Nd67f69d232074b9ab94a7af33086baa1 rdf:first sg:person.01330777445.97
220 rdf:rest Ne096fe4972bb4524a637c938b0b5b681
221 Nd6c810a7665e4c5f999dcef67983b9fc schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
222 schema:name Male
223 rdf:type schema:DefinedTerm
224 Ne096fe4972bb4524a637c938b0b5b681 rdf:first sg:person.011217265234.09
225 rdf:rest Ne8fc9f456e0e4ba5a894d27b3e5775c0
226 Ne15c9de7eca047b4a1a5db20b2f780fb schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
227 schema:name Treatment Outcome
228 rdf:type schema:DefinedTerm
229 Ne3a2953aa8794b64abf83e29af380576 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
230 schema:name Aged
231 rdf:type schema:DefinedTerm
232 Ne5f9f0c9686c41ee915dd8199ad8bde7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
233 schema:name Adenocarcinoma
234 rdf:type schema:DefinedTerm
235 Ne6e9d5707d0b4905816197a4591a2f37 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
236 schema:name Anastomosis, Roux-en-Y
237 rdf:type schema:DefinedTerm
238 Ne8fc9f456e0e4ba5a894d27b3e5775c0 rdf:first sg:person.0645325630.34
239 rdf:rest N8cfe883e1c1149f68dd0d3d372b87ca4
240 Nea91f7fec85d42c39095f9891ea9f66b rdf:first sg:person.01117013143.25
241 rdf:rest rdf:nil
242 Nf713e48ac9d84ea5acccb57285200467 schema:affiliation grid-institutes:grid.411951.9
243 schema:familyName Watanabe
244 schema:givenName Hiroshi
245 rdf:type schema:Person
246 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
247 schema:name Medical and Health Sciences
248 rdf:type schema:DefinedTerm
249 anzsrc-for:1112 schema:inDefinedTermSet anzsrc-for:
250 schema:name Oncology and Carcinogenesis
251 rdf:type schema:DefinedTerm
252 sg:journal.1032056 schema:issn 1477-7819
253 schema:name World Journal of Surgical Oncology
254 schema:publisher Springer Nature
255 rdf:type schema:Periodical
256 sg:person.01014114370.01 schema:affiliation grid-institutes:grid.411951.9
257 schema:familyName Yamashita
258 schema:givenName Katsushi
259 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01014114370.01
260 rdf:type schema:Person
261 sg:person.01117013143.25 schema:affiliation grid-institutes:grid.411951.9
262 schema:familyName Kazui
263 schema:givenName Teruhisa
264 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01117013143.25
265 rdf:type schema:Person
266 sg:person.011217265234.09 schema:affiliation grid-institutes:grid.411951.9
267 schema:familyName Suzuki
268 schema:givenName Koichi
269 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011217265234.09
270 rdf:type schema:Person
271 sg:person.01174422717.55 schema:affiliation grid-institutes:grid.411951.9
272 schema:familyName Kobayashi
273 schema:givenName Toshihiko
274 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01174422717.55
275 rdf:type schema:Person
276 sg:person.01314727747.43 schema:affiliation grid-institutes:grid.411951.9
277 schema:familyName Ogura
278 schema:givenName Hiroyuki
279 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01314727747.43
280 rdf:type schema:Person
281 sg:person.01320054303.52 schema:affiliation grid-institutes:grid.411951.9
282 schema:familyName Bashar
283 schema:givenName Abul Hasan Muhammad
284 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01320054303.52
285 rdf:type schema:Person
286 sg:person.01330777445.97 schema:affiliation grid-institutes:grid.411951.9
287 schema:familyName Konishi
288 schema:givenName Yukiko
289 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01330777445.97
290 rdf:type schema:Person
291 sg:person.0645325630.34 schema:affiliation grid-institutes:grid.411951.9
292 schema:familyName Wada
293 schema:givenName Hidetoshi
294 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0645325630.34
295 rdf:type schema:Person
296 sg:pub.10.1007/pl00011681 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030703112
297 https://doi.org/10.1007/pl00011681
298 rdf:type schema:CreativeWork
299 sg:pub.10.1007/s00595-002-2727-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025741713
300 https://doi.org/10.1007/s00595-002-2727-0
301 rdf:type schema:CreativeWork
302 grid-institutes:grid.411951.9 schema:alternateName First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan
303 schema:name First Department of Surgery, Hamamatsu University School of Medicine 1-20-1, Handayama, 431-3192, Hamamatsu, Japan
304 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...