{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:49Z","timestamp":1782384649653,"version":"3.54.5"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>IgG4-related disease (IgG4-RD) is a multi-system disorder that rarely presents with gastric manifestations. A 26\u00a0year old woman presented with post-prandial symptoms of dyspepsia, dysphagia and reflux with a proximal submucosal gastric mass on imaging and endoscopy. She underwent a number of endoscopic and laparoscopic biopsies, which were inconclusive. Suspecting IgG4-RD, steroids were trialled empirically, but did not result in radiological or symptom improvement. Ultimately, she underwent a total gastrectomy, D2 lymphadenectomy and Roux-en-Y oesophago-jejunostomy. On final histopathological analysis of this resection, the diagnosis of gastric IgG4-RD was favoured. Most reports of resection for IgG4-RD in the stomach suggest that it can be treated medically if the level of clinical suspicion is sufficiently high. However, in this case despite clinical suspicion, the initial biopsies were non-diagnostic and empirical steroids failed, demonstrating that these approaches do not always allow avoidance of major surgery for diagnosis and treatment.<\/jats:p>","DOI":"10.1093\/jscr\/rjag465","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T11:41:32Z","timestamp":1779882092000},"source":"Crossref","is-referenced-by-count":0,"title":["IgG4-related disease presenting as a gastric mass necessitating total gastrectomy: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Mansha","family":"Jiwane","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary and Upper GI Surgery, Royal Prince Alfred Hospital , Sydney ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pirahanthan","family":"Karunanithy","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper GI Surgery, Royal Prince Alfred Hospital , Sydney ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dulani","family":"Goonawardhana","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper GI Surgery, Royal Prince Alfred Hospital , Sydney ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharna","family":"Kulhavy","sequence":"additional","affiliation":[{"name":"Department of Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital , Sydney ,","place":["Australia"]},{"name":"NSW Health Pathology , Sydney, NSW ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona","family":"McKenzie","sequence":"additional","affiliation":[{"name":"Department of Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital , Sydney ,","place":["Australia"]},{"name":"NSW Health Pathology , Sydney, NSW ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Flynn","sequence":"additional","affiliation":[{"name":"Department of Medicine, Tamworth Base Hospital , Tamworth, NSW ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerome","family":"Laurence","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper GI Surgery, Royal Prince Alfred Hospital , Sydney ,","place":["Australia"]},{"name":"The University of Sydney, Faculty of Medicine and Health , Sydney ,","place":["Australia"]},{"name":"RPA Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital , Sydney ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"2026062506241285800_ref1","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1038\/s41575-021-00529-y","article-title":"IgG4-related 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