Hypoxic Tumor-Derived Exosomal miR-199a-3p Promote Gastric Cancer Metastasis via MAP3K4

Li Li1,2, Lei Wang3, Jia-Li Yang4

  • 1General Surgery, Cancer Center, Department of Gastrointestinal and Pancreatic Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang 310014, China.

Journal of Cancer
|July 27, 2023
PubMed

Insights

Proximal gastrectomy for upper gastric cancer can cause reflux. Various reconstruction methods are reviewed to retain stomach function and prevent esophagitis after this procedure.

Area of Science:

  • Surgical Oncology
  • Gastroenterology

Background:

  • Proximal gastrectomy is indicated for early upper gastric cancer and Siewert II gastroesophageal junction cancer.
  • This procedure can disrupt the gastroesophageal junction's anatomy and anti-reflux function.

Purpose of the Study:

  • To review indications, advantages, and disadvantages of anti-reflux reconstructions after proximal gastrectomy.
  • To discuss classic and novel reconstruction techniques.

Main Methods:

  • Literature review of surgical reconstruction methods.
  • Analysis of techniques including esophageal-gastric anastomosis, tubular esophagogastric anastomosis, muscle flap, jejunal interposition, and double-tract reconstruction.

Main Results:

  • Various reconstruction methods aim to preserve gastric function and prevent reflux esophagitis.
  • Different techniques offer distinct benefits and drawbacks for patients undergoing proximal gastrectomy.

Conclusions:

  • Anti-reflux reconstructions are crucial for maintaining function after proximal gastrectomy.
  • Advances in reconstruction techniques help mitigate complications like reflux esophagitis.

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