ArticleCureus2025
Recurrence of Esophageal Residual Gastric Anastomosis With Cervical Lymph Node Metastasis Following Laparoscopic Proximal Gastrectomy for Early-Stage Gastric Cancer.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Proximal gastrectomy (PG) is performed in Japan for early-stage gastric cancer in the upper stomach using various reconstruction methods. Although the location and frequency of lymph node metastasis in natural esophagogastric junction cancers have been widely discussed, lymph node metastasis of local recurrence to the esophagogastric anastomosis after PG has not been reported. We present the case of a 77-year-old man who underwent laparoscopic PG for early-stage gastric adenocarcinoma. Local recurrence was detected at the esophageal residual gastric anastomosis two years later. Positron emission tomography/computed tomography revealed suspected cervical lymph node metastasis. Intraoperative rapid histopathology confirmed adenocarcinoma, prompting esophagogastrectomy with three-field lymph node dissection. This report is the first to document cervical lymph node metastasis arising from local recurrence at the esophageal residual gastric anastomosis following PG.
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