ArticleWorld journal of surgery2012
Recent trend of internal hernia occurrence after gastrectomy for gastric cancer.
Article in World journal of surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- Incidence of Internal and Petersen's Hernias Following Gastrectomy for Gastric Cancer: A Meta-Analysis of Surgical Approach and Preventive Closure.World journal of surgery · 2026Pooled it
- Incidence and risk factors of symptomatic Petersen's hernias in bariatric and upper gastrointestinal surgery: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2023Pooled it
- Petersen's hernia after laparoscopic distal gastrectomy with Roux-en-Y reconstruction for gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2014Trial
- Trans-hiatal small-bowel herniation after laparoscopic radical total gastrectomy for gastric cancer: a case report and literature review.Journal of surgical case reports · 2026Article
- A special type of internal hernia - Roux-en-Y limb space internal hernia after gastrectomy: 6 case reports.International journal of surgery case reports · 2026Article
- Case Report: A rare cause of acute abdomen: retrograde efferent loop intussusception into the gastric remnant following Billroth II gastrectomy.Frontiers in medicine · 2026Article
- Article
- Incarceration of the Afferent Loop into the Sutured Closed Mesenteric Defect after Gastrectomy Followed by Billroth-II Reconstruction for Gastric Cancer: Two Case Reports.Surgical case reports · 2025Article
- Article
- Standardized procedure for preventing late intestinal complications following minimally invasive total gastrectomy for gastric cancer: a single-center retrospective cohort study.Surgical endoscopy · 2024Article
- Strangulated Bowel Obstruction Due to Hiatal Hernia After Laparoscopic Total Gastrectomy.Cureus · 2024Article
- Association between the antiadhesion membrane and small bowel obstruction after open gastrectomy: A supplemental analysis of the randomized controlled JCOG1001 trial.Annals of gastroenterological surgery · 2024Article
- Article
- Hand-assisted laparoscopic surgery for an esophageal hiatal hernia with incarcerated transverse colon presenting after laparoscopic gastrectomy: a case report.Surgical case reports · 2023Article
- Mesenteric closure after laparoscopic total gastrectomy with Roux-en-Y reconstruction is effective for prevention of internal hernia: a multicenter retrospective study.Surgical endoscopy · 2022Article
- Trans-hiatal herniation following esophagectomy or gastrectomy: retrospective single-center experiences with a potential surgical emergency.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Current status of internal hernia after gastrectomy for gastric cancer.Langenbeck's archives of surgery · 2022Review
- Incidence of adhesive small bowel obstruction after gastrectomy for gastric cancer and its risk factors: a long-term retrospective cohort study from a high-volume institution in China.Updates in surgery · 2021Article
- Clinical features of internal hernia after gastrectomy for gastric cancer.Journal of minimally invasive surgery · 2021Article
- Closure of Petersen's defect in gastrectomy for gastric cancer: an interrupted time series analysis from a high-volume institution in China.Langenbeck's archives of surgery · 2021Article
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe incidence of internal hernia after gastrectomy can increase with the increasing use of laparoscopic surgery, although this trend has not been elucidated.
methodsClinical information was collected from medical records and by questionnaire for 18 patients who underwent surgical treatment for internal hernia after gastrectomy for gastric cancer in 24 hospitals from January 2005 to December 2009.
resultsGastrectomy for gastric cancer was open/distal gastrectomy (DG) in five (28%) patients, open/total gastrectomy (TG) in seven (39%), laparoscopy-assisted/DG in three (17%), and laparoscopy-assisted/TG in 3 (17%). Reconstruction was by Roux-Y methods in all patients. The hernia orifice was classified as a jejunojejunostomy mesenteric defect in eight patients (44%), dorsum of the Roux limb (Petersen's space) in eight (44%), and one (5%) each of esophageal hiatus and mesenterium of the transverse colon. Among 8,983 patients who underwent gastrectomy for gastric cancer, a postoperative survey revealed that 13 patients underwent surgical treatment for internal hernia in the same hospitals. The 3-year incidence rate of the internal hernia was 0.19%, which was significantly higher after laparoscopy-assisted than open gastrectomy (0.53 vs. 0.15%, p = 0.03). Patients with an internal hernia had a mean (±SD) low weight at hernia operation (body mass index 17.9 ± 1.6 kg/m(2)) and marked weight loss after gastrectomy (weight reduction 15.6 ± 5.8%).
conclusionsGastrectomy with Roux-Y reconstruction for gastric cancer leaves several spaces that can cause internal hernia formation. Laparoscopic surgery and postoperative body weight loss are potential risk factors.
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