{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T15:44:16Z","timestamp":1778255056303,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2003,3,27]],"date-time":"2003-03-27T00:00:00Z","timestamp":1048723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2003,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Metastatic pattern of lymph node (LN) and surgery options for gastric stump cancer (GSC) remain controversial. The aim of this study was to investigate LN metastasis and lymphadenectomy for GSC for curative purposes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010seven patients with GSC were analyzed retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The metastatic rates of LN were as follows: 63.3% in right cardia (No. 1), 33.3% in left cardia (No. 2), 75.0% in lesser curvature (No. 3), 53.3% in greater curvature (No. 4), 40.0% in celiac artery (No. 9), 60.0% in splenic hilus (No. 10), 72.7% in splenic artery (No. 11), 36.1% in hepatoduodenal ligament (No. 12), 8.3% in retropancreatic (No. 13), 21.4% in para\u2010aortic (No. 16), 50% in supra\u2010diaphragm (No. 111), 16.7% in LN within jejunal mesentery, respectively. All nine patients who only received simple laparotomy died within 1 year. The overall 5\u2010year survival rate of GSC was 17.9% (12\/67), including 100% for stage I, 80.0% for stage II, 12.1% for stage III, and 0% for stage IV. Moreover, the 5\u2010year survival rate (36.7%, 11\/30) for curative patients was significantly better than that (3.6%, 1\/28) of non\u2010curative patients (\u03c7<jats:sup>2<\/jats:sup>\u2009=\u20097.76, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results imply that GSC has a wide range of LN metastases, including LN within jejunal mesentery in B\u2010II reconstruction cases, and curable resection may obtain better results. Therefore, we suggest that radical operation for B\u2010I patients needs removal of gastroduodenectomy anastomosis and the above LNs, and that B\u2010II patients need removal of 10 cm of jejunum besides gastrojejunostomy anastomosis, and clearance of LN within its mesentery, in addition to B\u2010I GSC. J. Surg. Oncol. 2003;82:241\u2013246. \u00a9 2003 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.10228","type":"journal-article","created":{"date-parts":[[2003,3,28]],"date-time":"2003-03-28T13:05:47Z","timestamp":1048856747000},"page":"241-246","source":"Crossref","is-referenced-by-count":37,"title":["Metastatic pattern of lymph node and surgery for gastric stump cancer"],"prefix":"10.1002","volume":"82","author":[{"given":"Shao\u2010Liang","family":"Han","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ya\u2010Wei","family":"Hua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng\u2010Hu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"She\u2010Qing","family":"Ji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Zhuang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,3,27]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1012917"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198311173092003"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-192209000-00014"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19961201)78:11<2288::AID-CNCR4>3.0.CO;2-J"},{"key":"e_1_2_1_6_2","first-page":"2","article-title":"The incidence of carcinoma in the gastric remnant after resection for benign ulcer disease","volume":"482","author":"Ewerth S","year":"1978","journal-title":"Acta Chi Scand"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1994.01420300057008"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800780718"},{"key":"e_1_2_1_9_2","first-page":"6","volume-title":"Japanese Research Society for Gastric Cancer. First English Edition","author":"Japanese Classification of Gastric Carcinoma","year":"1995"},{"key":"e_1_2_1_10_2","first-page":"59","volume-title":"TNM Classification of Malignant Tumors","author":"Sobin LH","year":"1997"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.5833\/jjgs.32.972"},{"issue":"2","key":"e_1_2_1_12_2","first-page":"151","article-title":"Choice of gastrectomy method from the viewpoint of gastric remnant carcinogenesis (In Japanese)","volume":"79","author":"Kamishi M","year":"1998","journal-title":"Surg Ther"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.5833\/jjgs.24.748"},{"key":"e_1_2_1_14_2","first-page":"977","article-title":"Surgical treatment for recurrent carcinoma of stomach: Lymphadenectomy for carcinoma of gastric remnant (In Japanese)","volume":"35","author":"Miwa K","year":"1981","journal-title":"Operation"},{"issue":"7","key":"e_1_2_1_15_2","first-page":"677","article-title":"Lymphadenectomy method of carcinoma of gastric stump from lymphatic drainage (In Japanese)","volume":"49","author":"Amano T","year":"1987","journal-title":"Geka"},{"issue":"12","key":"e_1_2_1_16_2","first-page":"1418","article-title":"Carcinoma of gastric remnant (In Japanese)","volume":"55","author":"Nakata E","year":"1993","journal-title":"Geka"},{"issue":"1","key":"e_1_2_1_17_2","first-page":"75","article-title":"Lymphadenectomy for gastric stump cancer (In Japanese)","volume":"47","author":"Yonemura Y","year":"1993","journal-title":"Operation"},{"key":"e_1_2_1_18_2","first-page":"1313","article-title":"Evaluation of 112 cases of cancer in the remnant stomach, especially in reference to operational treatment and prognosis","volume":"17","author":"Suzuki H","year":"1982","journal-title":"I to Cho (Stomach and Intestine)"},{"key":"e_1_2_1_19_2","first-page":"656","article-title":"Prognostetaktoren beim Magnencarcinom","volume":"63","author":"Bottcher K","year":"1992","journal-title":"Chirurg"},{"key":"e_1_2_1_20_2","first-page":"145","article-title":"Lymph drainage originating from the lower oesophagus and gastric cardia as measured by radioisotope uptake in the regional lymph nodes following lymphoscintigraphy","volume":"120","author":"Aikou T","year":"1987","journal-title":"Lymphology"}],"container-title":["Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjso.10228","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.10228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T03:20:52Z","timestamp":1700277652000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jso.10228"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,3,27]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2003,4]]}},"alternative-id":["10.1002\/jso.10228"],"URL":"https:\/\/doi.org\/10.1002\/jso.10228","archive":["Portico"],"relation":{},"ISSN":["0022-4790","1096-9098"],"issn-type":[{"value":"0022-4790","type":"print"},{"value":"1096-9098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,3,27]]}}}