Evidence map›Paper›PMID 42819558›Full record

ArticleJournal of surgical case reports2026

Trans-hiatal small-bowel herniation after laparoscopic radical total gastrectomy for gastric cancer: a case report and literature review.

Dalai Xu, Lei Qiu, Feng Lu, Xuzhu Gao, Yongchang Miao, Gang Wang

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 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

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

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

6 authors.

Dalai XuDepartment of General Surgery, The Second People's Hospital of Lianyungang, No. 41 Hailian East Road, Haizhou District, Lianyungang 222006, Jiangsu, China.ORCID https://orcid.org/0009-0004-0476-8487
Lei QiuDepartment of General Surgery, The Second People's Hospital of Lianyungang, No. 41 Hailian East Road, Haizhou District, Lianyungang 222006, Jiangsu, China.
Feng LuDepartment of General Surgery, The Second People's Hospital of Lianyungang, No. 41 Hailian East Road, Haizhou District, Lianyungang 222006, Jiangsu, China.
Xuzhu GaoClinical Oncology Research Institute, The Second People's Hospital of Lianyungang (Lianyungang Cancer Hospital), No. 161 Xingfu South Road, Haizhou District, Lianyungang 222023, Jiangsu, China.
Yongchang MiaoDepartment of General Surgery, The Second People's Hospital of Lianyungang, No. 41 Hailian East Road, Haizhou District, Lianyungang 222006, Jiangsu, China.
Gang WangDepartment of General Surgery, The Second People's Hospital of Lianyungang, No. 41 Hailian East Road, Haizhou District, Lianyungang 222006, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trans-hiatal hernia is a rare but serious complication after total gastrectomy. We report a 71-year-old man who underwent laparoscopic radical total gastrectomy, D2 lymphadenectomy, and Roux-en-Y reconstruction for cardia adenocarcinoma. Computed tomography (CT) on postoperative day 17 showed intrathoracic displacement of the esophagojejunal anastomosis without obstruction. Ten months later, he developed positional upper abdominal pain, and CT revealed herniation of the anastomosis and a dilated jejunal loop through the esophageal hiatus into the right thoracic cavity. Emergency laparoscopic reduction and hiatal repair were performed. The bowel was viable, and crural, and pleural defects were repaired with sutures. Recovery was uneventful. Early postoperative intrathoracic migration of the anastomosis may be a warning sign of delayed trans-hiatal hernia, and symptomatic patients require prompt CT diagnosis and surgical repair.

Indexed as

cardia cancerdiaphragmatic herniagastric cancerhiatal hernialaparoscopic total gastrectomypostoperative complicationRoux-en-Y reconstruction

Identifiers

PMID42819558
PMCPMC13626221

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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.