{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:27:24Z","timestamp":1787509644450,"version":"build-2736575974"},"reference-count":8,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2014,3,27]],"date-time":"2014-03-27T00:00:00Z","timestamp":1395878400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"},{"start":{"date-parts":[[2014,3,27]],"date-time":"2014-03-27T00:00:00Z","timestamp":1395878400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Gastroenterol"],"abstract":"<jats:p>We report the rare case of an elderly patient with an advanced gastric cancer arising from an upside-down stomach through a paraesophageal hiatal hernia (PEH). An 82-year-old man presented with appetite loss and anemia. Upper gastrointestinal endoscopy revealed a type 1 tumor located in the middle body of the stomach. An upper gastrointestinal series and computed tomography showed organoaxial rotation of the stomach, which was located in the mediastinum, through a PEH, indicating an upside-down stomach. The preoperative diagnosis was gastric cancer arising from an upside-down stomach through a PEH. The patient underwent total gastrectomy with lymph node dissection and closure of the hernial orifice. Although a large PEH is a chronic disorder, gastric malignancies should be considered in patients with PEH manifested as an upside-down stomach due to its anatomical characteristics, and careful preoperative diagnosis is mandatory.<\/jats:p>","DOI":"10.1159\/000361012","type":"journal-article","created":{"date-parts":[[2016,5,3]],"date-time":"2016-05-03T17:03:24Z","timestamp":1462295004000},"page":"107-114","source":"Crossref","is-referenced-by-count":8,"title":["Gastric Cancer Arising from an Upside-Down Stomach through a Paraesophageal Hiatal Hernia"],"prefix":"10.1159","volume":"8","author":[{"given":"Kenji","family":"Mimatsu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisao","family":"Kano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takatsugu","family":"Oida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Kawasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobutada","family":"Fukino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazutoshi","family":"Kida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youichi","family":"Kuboi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadao","family":"Amano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2014,3,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(69)90092-X"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-008-3804-9"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199404000-00030"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19870901)60:5<1094::AID-CNCR2820600529>3.0.CO;2-4"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.274.6.474"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199903183401101"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.11568"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19930715)72:2<330::AID-CNCR2820720205>3.0.CO;2-L"}],"container-title":["Case Reports in Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/361012","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/361012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T13:34:35Z","timestamp":1745415275000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000361012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,27]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2014,4,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000361012","archive":["Portico"],"relation":{},"ISSN":["1662-0631"],"issn-type":[{"value":"1662-0631","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,27]]}}}