Evidence map›Paper›PMID 41942357›Full record

ArticleJournal of gastric cancer2026

Endoscopic Features of Background Gastritis Associated With Remnant Gastric Cancer: A Multicenter Retrospective Study.

Takuma Ohashi, Takeshi Kubota, Hayato Fukui, Osamu Dohi, Shuhei Komatsu, Yasuhiro Shioaki, Yasuhito Izumiya, Tetsuro Yamashita, Sachie Tanaka, Soujin Sai and 18 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of gastric cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Takuma OhashiDivision of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0003-0939-3739
Takeshi KubotaDivision of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. tkubot@koto.kpu-m.ac.jp.ORCID 0000-0002-2246-3028
Hayato FukuiMolecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-9864-5194
Osamu DohiMolecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-0498-0144
Shuhei KomatsuDivision of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0001-6074-7614
Yasuhiro ShioakiDepartment of Gastroenterological Surgery, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto, Japan.ORCID 0000-0002-5432-5543
Yasuhito IzumiyaDepartment of Surgery, JCHO Kyoto Kuramaguchi Medical Center, Kyoto, Japan.
Tetsuro YamashitaDepartment of Surgery, JCHO Kyoto Kuramaguchi Medical Center, Kyoto, Japan.ORCID 0000-0002-1047-1290
Sachie TanakaDepartment of Surgery, Maizuru Medical Center, Maizuru, Japan.
Soujin SaiDepartment of Surgery, Maizuru Medical Center, Maizuru, Japan.
Junki YamajoDepartment of Surgery, Kyoto Saiseikai Hospital, Nagaokakyo, Japan.
Nobuaki FujiDepartment of Surgery, Kyoto Saiseikai Hospital, Nagaokakyo, Japan.
Yosuke AriyoshiDepartment of Surgery, Fukuchiyama City Hospital, Fukuchiyama, Japan.
Sadao KawakamiDepartment of Surgery, Fukuchiyama City Hospital, Fukuchiyama, Japan.
Kyoichi HaradaDepartment of Surgery, North Medical Center Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-7667-2511
Toshiya OchiaiDepartment of Surgery, North Medical Center Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-6564-4048
Kenichi ArataniDepartment of Surgery, Omihachiman Community Medical Center, Omihachiman, Japan.ORCID 0000-0002-4016-112X
Katsunori NakanoDepartment of Surgery, Omihachiman Community Medical Center, Omihachiman, Japan.
Hidefumi UedaDepartment of Surgery, Kyoto Kizugawa Hospital, Joyo, Japan.
Takeshi DaidoDepartment of Surgery, Kyoto Kizugawa Hospital, Joyo, Japan.
Hiroyuki InoueDivision of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-5879-9826
Kazuya TakabatakeDivision of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-8847-7860
Keiji NishibeppuDivision of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0003-2921-9498
Hirotaka KonishiDivision of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-4899-8944
Hitoshi FujiwaraDivision of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-6507-4313
Yoshito ItoMolecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Eigo OtsujiDivision of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-3260-8155
Atsushi ShiozakiDivision of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0003-3739-160X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe identified the risk factors for remnant gastric cancer (RGC) based on remnant gastric mucosal characteristics and gastritis morphology in patients undergoing distal gastrectomy. MATERIALS AND

methodsThis multicenter retrospective study included 100 patients with RGC after distal gastrectomy and 550 patients without RGC treated between 2013 and 2020. Endoscopic findings, including anastomotic redness, red streaks, enlarged folds, bile reflux as anastomotic findings, as well as disappearance of the regular arrangement of collecting venules (RAC), atrophic gastritis, and intestinal metaplasia as background gastric mucosal findings, were evaluated. Disease risk score matching (1:1) was adjusted for baseline characteristics. Logistic regression analysis was used to develop a risk score model to stratify RGC risk into low, moderate, and high categories.

resultsAfter matching, 96 patients with RGC and 96 controls were analyzed. Anastomotic redness and red streaks, as well as the disappearance of RAC and atrophic gastritis, were significantly more frequent in the RGC group than in the control group, whereas enlarged folds and bile reflux showed no significant differences. Risk scores were assigned as follows: anastomotic redness, 2; red streaks, 3; disappearance of RAC, 7; and atrophic gastritis, 3. The total score stratified patients into high (≥15), moderate (7-14), and low risk (≤6). The positive and negative predictive values were 67.7% and 83.3%, respectively.

conclusionsThe endoscopic findings of anastomotic redness, red streaks, RAC disappearance, and atrophic gastritis were significantly associated with RGC development. The proposed risk-scoring model could serve as a stratification tool for RGC surveillance.

trial registrationUniversity Hospital Medical Information Network Identifier: UMIN000055884.

Indexed as

GastrectomyGastric StumpGastritisGastritis, AtrophicStomach NeoplasmsAgedFemaleGastric MucosaHumansMaleMiddle AgedRetrospective StudiesRisk FactorsClassificationEndoscopyGastiritsGastrectomyGastric cancer

Identifiers

PMID41942357
PMCPMC13053825

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.