Cardia resection for perforated gastroesophageal cancer

Jul 08, 2009

Iatrogenic perforation of cancer of the esophagus or the gastroesophageal (GE) junction is a severe complication. Its incidence has increased most likely because of more aggressive palliative endoscopic therapy and the current widespread use of endoscopic ultrasound (EUS) for accurate preoperative staging. Therapy, i.e. conservative versus surgical treatment remains controversial.

Professor Jörg Kleeff from the Munich (Germany) report a case of 82-year-old man with iatrogenic perforation of of the GE junction. This article will be published on June 28, 2009 in the World Journal of Gastroenterology.

Given serious complications brought by initial endoscopic intervention, they decided to choose immediate explorative laparotomy. Intraoperatively, the tumor was localized and removed completely by resection of the cardia and part of the distal esophagus. For reconstruction, a partial proximal gastric tube was constructed using linear staplers. After treatment, the patient recovered quickly and discharged from hospital within 2 wk. On a further follow-up after 4 wk, the patient held no complaint of reflux or dysphagic symptoms.

The study revealed that the management of esophageal perforation in the context of an underlying demands an individual approach that depends upon the site and etiology of the perforation. Irrespective of the therapeutic approach, the prognosis after tumor perforation is dismal.

More information: Gillen S, Friess H, Kleeff J. Palliative cardia resection with gastroesophageal reconstruction for perforated carcinoma of the gastroesophageal junction. World J Gastroenterol 2009; 15(24): 3065-3067; www.wjgnet.com/1007-9327/15/3065.asp

Source: (news : web)

Explore further: Elucidating the origin of MDR tuberculosis strains

add to favorites email to friend print save as pdf

Related Stories

Gastric cancer with 3 pathological features

Sep 18, 2008

Primary carcinoma of the stomach is almost always adenocarcinoma or signet ring cell carcinoma and there are few reports of choriocarcinoma or neuroendocrine cell carcinoma. We report a patient with adenocarcinoma of the ...

A new molecular marker of gastric cancer

Mar 30, 2009

Gastric cancer (GC) is one of the most common malignancies in the world with a high incidence and death rate. TNM staging system is used worldwide to predict prognosis and direct therapeutic decisions of patients with GC. ...

How to predict post-operative enteral nutrition problems

Mar 24, 2009

Percutaneous endoscopic gastrostomy (PEG) has become one of the most useful and established enteral nutrition techniques. However, since PEG is based on a surgical technique and is mainly performed in elderly individuals ...

Recommended for you

Elucidating the origin of MDR tuberculosis strains

39 minutes ago

A study has focused on the evolutionary history of the mycobacterium that causes tuberculosis, and more specifically on the Beijing lineage associated with the spread of multidrug resistant forms of the disease ...

Mexico escalating the fight against breast cancer

1 hour ago

On Avenue San Fernando, a tree-lined street crowded with food stands, the new wing of Mexico's flagship cancer hospital gleams like a silver airplane. Barely a year old, the light-filled structure attached to the National ...

Core needle biopsy helpful with cervical lymphadenopathy

18 hours ago

(HealthDay)—Core needle biopsy (CNB) is a more sensitive tool than fine-needle aspiration cytology (FNAC) for cervical lymphadenopathy evaluation, according to a study published in the February issue of ...

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.