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Introduction Gastric and gastroesophageal junction adenocarcinoma (GEA) remains a considerable health problem, ranking fourth as the leading cause of cancer-related death globally, with more than 700,000 deaths in 2020 ( Among the most successfully exploited targets in GEA is angiogenesis with the VEGFR2-directed antibody ramucirumab being the second targeted agent to be approved, either alone or combined with paclitaxel, for advanced GEA failing prior platinum and fluoropyrimidine chemotherapy ( The biological rationale for angiogenesis targeting in GEA Angiogenesis enables the generation of a neovasculature from pre-existing blood vessels sustaining tumor progression and invasion since the early stages of cancer development ( In recent years, lights have been shed on the molecular mechanisms underpinning VEGF/VEGFR-mediated angiogenesis, among which the hypoxia-inducible factor-1 (HIF-1) activation through the hypoxic neoplastic milieu is the best-established one

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The mechanical interface and scar tissue must be lengthened and orientated to allow a smooth gliding movement of the nerve and smooth movement of all muscles and joints