GHRL and gastric cancer: Our results are in line with previous studies reporting that Rikkunshito enhances gastrointestinal motility and appetite through ghrelin-mediated pathways.[24,25] However, our study is distinct in that it demonstrates these effects when Rikkunshito is initiated in the early postoperative period, a strategy that has been insufficiently investigated in the context of minimally invasive surgery for gastric cancer.