title: Surgery for advanced gastric cancer after coronary artery bypass grafting using the right gastroepiploic artery: report of a case.
abstract: Ischemic heart disorders are often treated by coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA). We report the case of a 57-year-old man with a history of CABG using the RGEA, who underwent D2 radical total gastrectomy followed by Roux-en-Y anastomosis, with successful dissection of the #6 lymph nodes, while preserving the RGEA. The patient had a 9-month history of gastric cancer, during which time the Maruyama Vaccine (Specific Substance Maruyama, or SSM) was given as alternative therapy. This case report serves to demonstrate that radical gastrectomy can be safely performed after CABG using the RGEA, and that gastric cancer will progress in spite of SSM therapy.
authors.affiliation: Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
authors.forename: Naoko
authors.initials: N
authors.lastname: Hashiguchi
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Kubota
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Otani
authors.forename: Masashi
authors.initials: M
authors.lastname: Yoshida
authors.forename: Shingo
authors.initials: S
authors.lastname: Maeda
authors.forename: Joh
authors.initials: J
authors.lastname: Tokuyama
authors.forename: Norihito
authors.initials: N
authors.lastname: Wada
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Suganuma
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Kuwano
authors.forename: Koichiro
authors.initials: K
authors.lastname: Kumai
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Sugino
authors.forename: Makio
authors.initials: M
authors.lastname: Mukai
authors.forename: Hankei
authors.initials: H
authors.lastname: Shin
authors.forename: Masaki
authors.initials: M
authors.lastname: Kitajima
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000713:Anastomosis, Roux-en-Y; D001026:Coronary Artery Bypass / Q000379:methods*; D005743:Gastrectomy; D024405:Gastroepiploic Artery / Q000637:transplantation*; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery; D009367:Neoplasm Staging; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*