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 language | English |
|---|---|
| Pages (from-to) | 966-969 |
| Number of pages | 4 |
| Journal | Surgery today |
| Volume | 41 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - Jul 1 2011 |
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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 journal › Article
}
TY - JOUR
T1 - Gastric cancer in the reconstructed gastric tube after radical esophagectomy
T2 - A single-center experience
AU - Oki, Eiji
AU - Morita, Masaru
AU - Toh, Yasushi
AU - Kimura, Yasue
AU - Ohgaki, Kippei
AU - Sadanaga, Noriaki
AU - Egashira, Akinori
AU - Kakeji, Yoshihiro
AU - Tsujitani, Shunichi
AU - Maehara, Yoshihiko
PY - 2011/7/1
Y1 - 2011/7/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=79960333385&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79960333385&partnerID=8YFLogxK
U2 - 10.1007/s00595-010-4402-1
DO - 10.1007/s00595-010-4402-1
M3 - Article
C2 - 21748613
AN - SCOPUS:79960333385
VL - 41
SP - 966
EP - 969
JO - Surgery Today
JF - Surgery Today
SN - 0941-1291
IS - 7
ER -