Evidence map›Paper›PMID 42359212›Full record

ArticleCureus2026

Robot-Assisted Total Gastrectomy for Gastric Adenocarcinoma and Proximal Polyposis of the Stomach: A Case Report.

Takafumi Ihashi, Hironori Iwasaki, Akifumi Kawahito, Tsuguharu Asato, Hiroshi Yokomizo

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Takafumi IhashiDepartment of Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, JPN.
Hironori IwasakiDepartment of Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, JPN.
Akifumi KawahitoDepartment of Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, JPN.
Tsuguharu AsatoDepartment of Pathology, Japanese Red Cross Kumamoto Hospital, Kumamoto, JPN.
Hiroshi YokomizoDepartment of Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS) is a rare hereditary syndrome characterized by fundic gland polyposis and an increased risk of gastric adenocarcinoma. We report a case of gastric cancer associated with clinically suspected GAPPS that was successfully treated with robot-assisted total gastrectomy. A 26-year-old woman presented with epigastric pain, and upper gastrointestinal endoscopy revealed diffuse fundic gland polyposis extending from the gastric fundus to the lower gastric body. Biopsy specimens demonstrated well-differentiated tubular adenocarcinoma. No polyps were identified in the gastric antrum, duodenum, or colon. Based on the characteristic endoscopic findings, family history, and exclusion of other hereditary polyposis syndromes, the patient was clinically suspected to have GAPPS. Contrast-enhanced computed tomography suggested possible splenic hilar lymph node metastasis, and robot-assisted total gastrectomy with D2 lymphadenectomy and spleen-preserving splenic hilar lymph node dissection was performed. The postoperative course was uneventful, and the patient was discharged on postoperative day seven. Histopathological examination demonstrated multiple intramucosal well-differentiated tubular adenocarcinoma lesions without lymph node metastasis. The patient remains free of recurrence two years and six months after surgery. GAPPS carries a substantial risk of malignant transformation at a relatively young age, and accurate endoscopic evaluation may be challenging. In young patients requiring total gastrectomy, robot-assisted surgery may represent a feasible minimally invasive option that facilitates precise dissection in technically demanding procedures.

Indexed as

apc promoter 1bfundic gland polyposisgappsgastric adenocarcinomahereditary gastric cancerrobotic gastrectomyspleen preservationsplenic hilar dissectiontotal gastrectomy

Identifiers

PMID42359212
PMCPMC13291790

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