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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| Veröffentlicht in: | World journal of surgery 2020-03, Vol.44 (3), p.863-868 |
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| creator | 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 |
| description | 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 (+). |
| doi_str_mv | 10.1007/s00268-019-05236-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2307738276</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2357207947</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4263-886671e5f1c0fe8baba16dc1ade1d236ff41dbb8c76d6b73347dc9b908fb70753</originalsourceid><addsrcrecordid>eNqNkc1uEzEUhS0EoiHwAiyQJTZsplzbM_YMO4hoUxSJSmnF0vL4J3E18QTboWqfHqdTQGKBWNm69ztH5-og9JrAKQEQ7xMA5W0FpKugoYxX90_QjNSMVpRR9hTNgPG6_Ak7QS9SugEgggN_jk4Y4Uw00M3Qj8s4bsKYstd47TfBO69V0BaPDi-9ymrASxuDV9gHfKmytyEnfOvzFp-rlGORLY58xKtRq2zNw66weWvx9X5vY3W19dEc_Y6jdR53Sm9fomdODcm-enzn6Prs89ViWa2-nl8sPq4qXVPOqrblXBDbOKLB2bZXvSLcaKKMJaZc7FxNTN-3WnDDe8FYLYzu-g5a1wsQDZujd5PvPo7fDzZlufNJ22FQwY6HJCkDIVhLBS_o27_Qm_EQQ0lXqEZQEF0tCkUnSscxpWid3Ee_U_FOEpDHVuTUiiytyIdW5H0RvXm0PvQ7a35LftVQgA8TcOsHe_cflvLbl_WnszIuN88Rm8Sp6MLGxj_B_5HpJ6UNqgg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2357207947</pqid></control><display><type>article</type><title>Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach</title><source>MEDLINE</source><source>SpringerNature Journals</source><source>Access via Wiley Online Library</source><creator>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</creator><creatorcontrib>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</creatorcontrib><description>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 (+).</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-019-05236-z</identifier><identifier>PMID: 31637509</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Cardiac Surgery ; Esophagogastric Junction - surgery ; Female ; Gastric cancer ; General Surgery ; Hernia ; Hernia, Hiatal - complications ; Humans ; Lymph nodes ; Male ; Medical prognosis ; Medicine ; Medicine & Public Health ; Middle Aged ; Multivariate analysis ; Original Scientific Report ; Patients ; Prognosis ; Retrospective Studies ; Stomach ; Stomach Neoplasms - mortality ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Surgery ; Thoracic Surgery ; Tumor cells ; Vascular Surgery</subject><ispartof>World journal of surgery, 2020-03, Vol.44 (3), p.863-868</ispartof><rights>Société Internationale de Chirurgie 2019</rights><rights>2020 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>World Journal of Surgery is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4263-886671e5f1c0fe8baba16dc1ade1d236ff41dbb8c76d6b73347dc9b908fb70753</citedby><cites>FETCH-LOGICAL-c4263-886671e5f1c0fe8baba16dc1ade1d236ff41dbb8c76d6b73347dc9b908fb70753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-019-05236-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-019-05236-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,41488,42557,45574,45575,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31637509$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maruyama, Suguru</creatorcontrib><creatorcontrib>Kawaguchi, Yoshihiko</creatorcontrib><creatorcontrib>Akaike, Hidenori</creatorcontrib><creatorcontrib>Shiraishi, Kensuke</creatorcontrib><creatorcontrib>Saito, Ryo</creatorcontrib><creatorcontrib>Shimizu, Hiroki</creatorcontrib><creatorcontrib>Furuya, Shinji</creatorcontrib><creatorcontrib>Hosomura, Naohiro</creatorcontrib><creatorcontrib>Amemiya, Hidetake</creatorcontrib><creatorcontrib>Kawaida, Hiromichi</creatorcontrib><creatorcontrib>Sudo, Makoto</creatorcontrib><creatorcontrib>Inoue, Shingo</creatorcontrib><creatorcontrib>Kono, Hiroshi</creatorcontrib><creatorcontrib>Ichikawa, Daisuke</creatorcontrib><title>Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>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 (+).</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Cardiac Surgery</subject><subject>Esophagogastric Junction - surgery</subject><subject>Female</subject><subject>Gastric cancer</subject><subject>General Surgery</subject><subject>Hernia</subject><subject>Hernia, Hiatal - complications</subject><subject>Humans</subject><subject>Lymph nodes</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Original Scientific Report</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Stomach</subject><subject>Stomach Neoplasms - mortality</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Tumor cells</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc1uEzEUhS0EoiHwAiyQJTZsplzbM_YMO4hoUxSJSmnF0vL4J3E18QTboWqfHqdTQGKBWNm69ztH5-og9JrAKQEQ7xMA5W0FpKugoYxX90_QjNSMVpRR9hTNgPG6_Ak7QS9SugEgggN_jk4Y4Uw00M3Qj8s4bsKYstd47TfBO69V0BaPDi-9ymrASxuDV9gHfKmytyEnfOvzFp-rlGORLY58xKtRq2zNw66weWvx9X5vY3W19dEc_Y6jdR53Sm9fomdODcm-enzn6Prs89ViWa2-nl8sPq4qXVPOqrblXBDbOKLB2bZXvSLcaKKMJaZc7FxNTN-3WnDDe8FYLYzu-g5a1wsQDZujd5PvPo7fDzZlufNJ22FQwY6HJCkDIVhLBS_o27_Qm_EQQ0lXqEZQEF0tCkUnSscxpWid3Ee_U_FOEpDHVuTUiiytyIdW5H0RvXm0PvQ7a35LftVQgA8TcOsHe_cflvLbl_WnszIuN88Rm8Sp6MLGxj_B_5HpJ6UNqgg</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Maruyama, Suguru</creator><creator>Kawaguchi, Yoshihiko</creator><creator>Akaike, Hidenori</creator><creator>Shiraishi, Kensuke</creator><creator>Saito, Ryo</creator><creator>Shimizu, Hiroki</creator><creator>Furuya, Shinji</creator><creator>Hosomura, Naohiro</creator><creator>Amemiya, Hidetake</creator><creator>Kawaida, Hiromichi</creator><creator>Sudo, Makoto</creator><creator>Inoue, Shingo</creator><creator>Kono, Hiroshi</creator><creator>Ichikawa, Daisuke</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>202003</creationdate><title>Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4263-886671e5f1c0fe8baba16dc1ade1d236ff41dbb8c76d6b73347dc9b908fb70753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Cardiac Surgery</topic><topic>Esophagogastric Junction - surgery</topic><topic>Female</topic><topic>Gastric cancer</topic><topic>General Surgery</topic><topic>Hernia</topic><topic>Hernia, Hiatal - complications</topic><topic>Humans</topic><topic>Lymph nodes</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Original Scientific Report</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Stomach</topic><topic>Stomach Neoplasms - mortality</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Tumor cells</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maruyama, Suguru</creatorcontrib><creatorcontrib>Kawaguchi, Yoshihiko</creatorcontrib><creatorcontrib>Akaike, Hidenori</creatorcontrib><creatorcontrib>Shiraishi, Kensuke</creatorcontrib><creatorcontrib>Saito, Ryo</creatorcontrib><creatorcontrib>Shimizu, Hiroki</creatorcontrib><creatorcontrib>Furuya, Shinji</creatorcontrib><creatorcontrib>Hosomura, Naohiro</creatorcontrib><creatorcontrib>Amemiya, Hidetake</creatorcontrib><creatorcontrib>Kawaida, Hiromichi</creatorcontrib><creatorcontrib>Sudo, Makoto</creatorcontrib><creatorcontrib>Inoue, Shingo</creatorcontrib><creatorcontrib>Kono, Hiroshi</creatorcontrib><creatorcontrib>Ichikawa, Daisuke</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maruyama, Suguru</au><au>Kawaguchi, Yoshihiko</au><au>Akaike, Hidenori</au><au>Shiraishi, Kensuke</au><au>Saito, Ryo</au><au>Shimizu, Hiroki</au><au>Furuya, Shinji</au><au>Hosomura, Naohiro</au><au>Amemiya, Hidetake</au><au>Kawaida, Hiromichi</au><au>Sudo, Makoto</au><au>Inoue, Shingo</au><au>Kono, Hiroshi</au><au>Ichikawa, Daisuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2020-03</date><risdate>2020</risdate><volume>44</volume><issue>3</issue><spage>863</spage><epage>868</epage><pages>863-868</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><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 (+).</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>31637509</pmid><doi>10.1007/s00268-019-05236-z</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; SpringerNature Journals; Access via Wiley Online Library |
| subjects | Abdominal Surgery Adult Aged Cardiac Surgery Esophagogastric Junction - surgery Female Gastric cancer General Surgery Hernia Hernia, Hiatal - complications Humans Lymph nodes Male Medical prognosis Medicine Medicine & Public Health Middle Aged Multivariate analysis Original Scientific Report Patients Prognosis Retrospective Studies Stomach Stomach Neoplasms - mortality Stomach Neoplasms - pathology Stomach Neoplasms - surgery Surgery Thoracic Surgery Tumor cells Vascular Surgery |
| title | Prognostic Significance of Hiatal Hernia in Patients with Gastric Cancer Located within the Upper-Third of the Stomach |
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