{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:57:44Z","timestamp":1790794664078,"version":"4.1.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Lianyungang Association for Science and Technology","award":["ZD202308"],"award-info":[{"award-number":["ZD202308"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Trans-hiatal hernia is a rare but serious complication after total gastrectomy. We report a 71-year-old man who underwent laparoscopic radical total gastrectomy, D2 lymphadenectomy, and Roux-en-Y reconstruction for cardia adenocarcinoma. Computed tomography (CT) on postoperative day 17 showed intrathoracic displacement of the esophagojejunal anastomosis without obstruction. Ten months later, he developed positional upper abdominal pain, and CT revealed herniation of the anastomosis and a dilated jejunal loop through the esophageal hiatus into the right thoracic cavity. Emergency laparoscopic reduction and hiatal repair were performed. The bowel was viable, and crural, and pleural defects were repaired with sutures. Recovery was uneventful. Early postoperative intrathoracic migration of the anastomosis may be a warning sign of delayed trans-hiatal hernia, and symptomatic patients require prompt CT diagnosis and surgical repair.<\/jats:p>","DOI":"10.1093\/jscr\/rjag776","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:27:13Z","timestamp":1790594833000},"source":"Crossref","is-referenced-by-count":0,"title":["Trans-hiatal small-bowel herniation after laparoscopic radical total gastrectomy for gastric cancer: a case report and literature review"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0476-8487","authenticated-orcid":false,"given":"Dalai","family":"Xu","sequence":"first","affiliation":[{"name":"Department of General Surgery, The Second People's Hospital of Lianyungang , No. 41 Hailian East Road, Haizhou District, Lianyungang 222006, Jiangsu ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Qiu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Second People's Hospital of Lianyungang , No. 41 Hailian East Road, Haizhou District, Lianyungang 222006, Jiangsu ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Second People's Hospital of Lianyungang , No. 41 Hailian East Road, Haizhou District, Lianyungang 222006, Jiangsu ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuzhu","family":"Gao","sequence":"additional","affiliation":[{"name":"Clinical Oncology Research Institute, The Second People's Hospital of Lianyungang (Lianyungang Cancer Hospital) , No. 161 Xingfu South Road, Haizhou District, Lianyungang 222023, Jiangsu ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongchang","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Second People's Hospital of Lianyungang , No. 41 Hailian East Road, Haizhou District, Lianyungang 222006, Jiangsu ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Second People's Hospital of Lianyungang , No. 41 Hailian East Road, Haizhou District, Lianyungang 222006, Jiangsu ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"2026093014280397800_ref1","volume-title":"Global Cancer Observatory: Cancer 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Gastric Cancer"},{"key":"2026093014280397800_ref11","doi-asserted-by":"publisher","first-page":"49","DOI":"10.5230\/jgc.2012.12.1.49","article-title":"Late onset iatrogenic diaphragmatic hernia after laparoscopy-assisted total gastrectomy for gastric cancer","volume":"12","author":"Suh","year":"2012","journal-title":"J Gastric Cancer"},{"key":"2026093014280397800_ref12","doi-asserted-by":"publisher","first-page":"889","DOI":"10.1007\/s10029-013-1142-3","article-title":"Hiatal hernia following total gastrectomy with Roux-en-Y reconstruction","volume":"18","author":"Murata","year":"2014","journal-title":"Hernia"},{"key":"2026093014280397800_ref13","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1007\/s00464-016-4962-2","article-title":"Crus incision without repair is a risk factor for esophageal hiatal hernia after laparoscopic total gastrectomy: a retrospective cohort study","volume":"31","author":"Ito","year":"2017","journal-title":"Surg 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