Gastric cancer in the reconstructed gastric tube after radical esophagectomy: A single-center experience

Eiji Oki, Masaru Morita, Yasushi Toh, Yasue Kimura, Kippei Ohgaki, Noriaki Sadanaga, Akinori Egashira, Yoshihiro Kakeji, Shunichi Tsujitani, Yoshihiko Maehara

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: Metachronous gastric carcinoma arising in a gastric tube used for esophageal reconstruction has been occasionally encountered in long-term survivors of esophageal cancer. This study investigated 10 cases of gastric tube cancer in order to clarify the characteristics and the outcome of these patients. Methods: Four hundred and seventy-one patients underwent a radical esophagectomy at Kyushu University Hospital between 1989 and 2003. There were 10 cases of gastric tube cancer after an esophagectomy. Results: The interval between the esophagectomy and the development of the gastric tube cancer ranged from 1.1 to 7 years. There was no peak for the incidence of gastric tube cancer. In 6 of 10 cases of gastric tube cancer, endoscopic or surgical resection were performed for the treatment; however, chemotherapy was administered to the other 4 cases for several reasons. The prognosis of patients who underwent resection was better than that of the other patients. Conclusions: Frequent endoscopic examinations are therefore important even several years after performing an esophagectomy, since the risk of gastric tube cancer is higher than the risk of a recurrence of esophageal cancer several years after an esophagectomy. Only an early diagnosis permits a less invasive and appropriate approach for the treatment of gastric tube cancer.

Original languageEnglish
Pages (from-to)966-969
Number of pages4
JournalSurgery today
Volume41
Issue number7
DOIs
Publication statusPublished - Jul 1 2011

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Esophagectomy
Stomach Neoplasms
Stomach
Esophageal Neoplasms
Survivors
Early Diagnosis
Carcinoma
Recurrence
Drug Therapy
Incidence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery

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Gastric cancer in the reconstructed gastric tube after radical esophagectomy : A single-center experience. / Oki, Eiji; Morita, Masaru; Toh, Yasushi; Kimura, Yasue; Ohgaki, Kippei; Sadanaga, Noriaki; Egashira, Akinori; Kakeji, Yoshihiro; Tsujitani, Shunichi; Maehara, Yoshihiko.

In: Surgery today, Vol. 41, No. 7, 01.07.2011, p. 966-969.

Research output: Contribution to journalArticle

Oki, E, Morita, M, Toh, Y, Kimura, Y, Ohgaki, K, Sadanaga, N, Egashira, A, Kakeji, Y, Tsujitani, S & Maehara, Y 2011, 'Gastric cancer in the reconstructed gastric tube after radical esophagectomy: A single-center experience', Surgery today, vol. 41, no. 7, pp. 966-969. https://doi.org/10.1007/s00595-010-4402-1
Oki, Eiji ; Morita, Masaru ; Toh, Yasushi ; Kimura, Yasue ; Ohgaki, Kippei ; Sadanaga, Noriaki ; Egashira, Akinori ; Kakeji, Yoshihiro ; Tsujitani, Shunichi ; Maehara, Yoshihiko. / Gastric cancer in the reconstructed gastric tube after radical esophagectomy : A single-center experience. In: Surgery today. 2011 ; Vol. 41, No. 7. pp. 966-969.
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