The Zollinger-Ellison syndrome may be treated by removal of the tumour(s), total gastrectomy (Zollinger and Ellison, 1955), an H2 inhibitor, such as cimetidine (McCarthy, 1976) or a combination of these three methods. Our approach (Stadil and Stage, 1978; Welbourn and Galland, 1982) is to control the ulceration with cimetidine and then, if possible, to localize and remove the tumour. If this is...

BACKGROUND Germline mutation of the CDH1 gene, which encodes for the E-cadherin adhesion protein, is rare but confers an estimated lifetime risk of hereditary diffuse gastric cancer of 87%. Fewer than 100 prophylactic total gastrectomies have been reported for this condition. METHODS Patients with germline CDH1 mutation who underwent multidisciplinary counseling followed by prophylactic total...

PURPOSE We aimed to evaluate the relationship between gastrectomy and the volume of liver segments II and III in patients with gastric cancer. METHODS Computed tomography images of 54 patients who underwent curative gastrectomy for gastric adenocarcinoma were retrospectively evaluated by two blinded observers. Volumes of the total liver and segments II and III were measured. The difference be...

Although the majority of circulating ghrelin originates from the stomach, no prospective study of the proportion of ghrelin derived from the stomach has been reported. Patients with early gastric cancer who underwent gastric resection were divided into three groups according to the extent and site of gastric resection: subtotal gastrectomy group (n = 24), proximal gastrectomy group (n = 4), and...

OBJECTIVES To assess the safety and feasibility of total laparoscopy distal gastrectomy (TLDG). METHODS This meta-analysis was conducted between April and July 2013 in Sichuan Cancer Hospital, Chengdu, China. We searched PubMed, EMBASE and China Knowledge Resource Integrated Database updated until May 2013. Eight retrospective studies and one prospective study involving 2,046 total patients w...

Laparoscopic sleeve gastrectomy (LSG) has become a mainstream procedure in the management of obesity. Staple line leak is a challenging complication. We report a unique case of successfully treated leak after sleeve gastrectomy, presented ex novo 4 years later as a gastro-cutaneous fistula (GCF). Nothing similar was found in the literature. A 31-year-old woman underwent an LSG, complicated by a...

abstract malignant spermatic cord tumor is rare. spermatic cord metastasis is less common and the prognosis of these patients is poor. here we report a case of unilateral spermatic cord metastasis from advanced gastric cancer. a 57-year-old male underwent total gastrectomy due to advanced gastric cancer. three years later, a painless hard palpable mass in the left inguinal area developed and th...