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

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9 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 2011

All Science Journal Classification (ASJC) codes

  • Surgery

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