{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:05:01Z","timestamp":1792019101871,"version":"4.4.0"},"reference-count":103,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T00:00:00Z","timestamp":1646784000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Distal gastrectomy for benign gastroduodenal peptic disease has become rare, but it still represents a widely adopted procedure for advanced and, in some countries, even for early distal gastric cancer. Survival rates following surgery for gastric malignancy are constantly improving, hence the residual mucosa of the gastric stump is exposed for a prolonged period to biliopancreatic reflux and, possibly, to Helicobacter pylori (HP) infection. Biliopancreatic reflux and HP infection are considered responsible for gastritis and metachronous carcinoma in the gastric stump after oncologic surgery. For gastrectomy patients, in addition to eradication treatment for cases that are already HP positive, endoscopic surveillance should also be recommended, for prompt surveillance and detection in the residual mucosa of any metaplastic-atrophic-dysplastic features following surgery.<\/jats:p>","DOI":"10.3390\/jcm11061498","type":"journal-article","created":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T11:30:38Z","timestamp":1646825438000},"page":"1498","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Role of New Anatomy, Biliopancreatic Reflux, and Helicobacter Pylori Status in Postgastrectomy Stump Cancer"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6198-6964","authenticated-orcid":false,"given":"Luigi","family":"Basso","sequence":"first","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1066-4671","authenticated-orcid":false,"given":"Gaetano","family":"Gallo","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Neurosciences, Operative Unit of General Surgery and Surgical Oncology, University of Siena, 53100 Siena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Biacchi","sequence":"additional","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Vittoria","family":"Carati","sequence":"additional","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7121-2295","authenticated-orcid":false,"given":"Giuseppe","family":"Cavallaro","sequence":"additional","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Esposito","sequence":"additional","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Giuliani","sequence":"additional","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano","family":"Izzo","sequence":"additional","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4702-5171","authenticated-orcid":false,"given":"Paolo","family":"Izzo","sequence":"additional","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonietta","family":"Lamazza","sequence":"additional","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1319-1147","authenticated-orcid":false,"given":"Andrea","family":"Polistena","sequence":"additional","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3783-4749","authenticated-orcid":false,"given":"Mariarita","family":"Tarallo","sequence":"additional","affiliation":[{"name":"\u201cPietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0495-5272","authenticated-orcid":false,"given":"Alessandro","family":"Micarelli","sequence":"additional","affiliation":[{"name":"ITER Center for Balance and 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