scholarly journals A case of gastric tube cancer diagnosed during treatment for gastric tube ulcer after esophagectomy for esophageal cancer.

2001 ◽  
Vol 62 (6) ◽  
pp. 1441-1446 ◽  
Author(s):  
Satoru MATONO ◽  
Susumu SUEYOSHI ◽  
Toshiaki TANAKA ◽  
Hiromasa FUJITA ◽  
Hideaki YAMANA ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Gastric Tube ◽  
Gastric Tube Cancer ◽  
Gastric Tube Ulcer

PS02.204: GASTRIC TUBE CANCER AFTER ESOPHAGECTOMY FOR ESOPHAGEAL CANCER: A SYSTEMATIC REVIEW

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 180-180
Author(s):  
Damiano Gentile ◽  
Pietro Riva ◽  
Anna Da Roit ◽  
Silvia Basato ◽  
Salvatore Marano ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Gastric Tube ◽  
Conflicts Of Interest ◽  
Case Reports ◽  
Treatment Strategies ◽  
Vocal Cord Palsy ◽  
Review Literature ◽  
Gastric Tube Cancer ◽  
Publication Number

Abstract Background Gastric conduit used for reconstruction after esophagectomy for esophageal cancer (EC) has the potential to develop a metachronous cancer known as gastric tube cancer (GTC). The aim of our study was to review literature and evaluate outcomes and possible treatment strategies for GTC. Methods A comprehensive systematic literature search was conducted using PubMed. No restriction was set for type of publication, number, age and sex of patients. Study language was limited to English. Characteristics of EC and its treatment and GTC and its treatment were analyzed. Results A total of 26 studies were analyzed, 10 retrospective analysis and 16 case reports, involving 170 patients, 17 patients (10%) were affected by multifocal GTC. 143 ECs (84,1%) were squamous cell carcinomas. In 95 patients (55,9%) a posterior-mediastinal reconstructive route was used at the time of esophagectomy for EC. Mean interval between esophagectomy and diagnosis of GTC was 67,18 months (4–236 months). 184 GTCs were metachronous lesions (98,4%). 164 GTCs were adenocarcinomas (98,2%). 84 GTCs were located in the lower part of the gastric tube. 88 patients were endoscopically treated. 63 patients underwent surgery. 30 total gastrectomies + limphoadenectomy with colon or jejunal interposition were performed. 27 subtotal gastrectomies and 6 wedge resections were performed. Main reported post-operative complications were: anastomotic leak, vocal cord palsy and respiratory failure. 19 patients were treated with chemoradiotherapy and palliative care. 68,2% of endoscopically treated patients, 63,5% of surgically resected patients and 5,2% of patients who underwent chemoradiotherapy were alive at a mean follow-up of 25,5 months. Feasibility of endoscopic resections in patients diagnosed with superficial GTC has been established. Surgical treatment represents the preferred treatment modality in operable patients with locally invasive tumor. Patients treated with conservative therapy have a scarce prognosis. Conclusion Yearly endoscopic follow-up is of paramount importance in patients who underwent esophagectomy for EC with gastric tube reconstruction. At least, a 10-year endoscopic surveillance is recommended. Disclosure All authors have declared no conflicts of interest.

scholarly journals Gastric Tube Ulcer Perforation into the Pericardial Space after Esophagectomy for Esophageal Cancer Managed Successfully by Emergency Surgery

2019 ◽  
Vol 52 (3) ◽  
pp. 137-145
Author(s):  
Noritoshi Mizuta ◽  
Toshiyuki Suganuma ◽  
Kensuke Nakatani ◽  
Shinichiro Okada ◽  
Maki Iida ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Emergency Surgery ◽  
Gastric Tube ◽  
Ulcer Perforation ◽  
Pericardial Space ◽  
Gastric Tube Ulcer

scholarly journals Resection of the Gastric Tube Reconstructed through the Retrosternal Route without Sternotomy

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Masahiro Kimura ◽  
Yasuyuki Shibata ◽  
Kotaro Mizuno ◽  
Hironori Tanaka ◽  
Motoki Hato ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Esophageal Cancer ◽  
Gastric Tube ◽  
Early Stage ◽  
Combined Modality Therapy ◽  
First Report ◽  
Gastric Tube Cancer ◽  
Subtotal Esophagectomy ◽  
Combined Modality ◽  
Advanced Stages

With advances of combined modality therapy, prognoses in esophageal cancer have been improving. After resection of esophageal cancer, the development of gastric tube cancer is a risk. While such cancer in an early stage can be cured endoscopically, total gastric tube resection is indicated in advanced stages. A 68-year-old man underwent subtotal esophagectomy reconstructed with a gastric tube through the retrosternal route. Gastric cancer was found one and a half years postoperatively. The gastric tube was resected without sternotomy. This is the first report of a patient undergoing resection of the gastric tube reconstructed through the retrosternal route without sternotomy.

scholarly journals A resected case of lung metastasis of the reconstructed gastric tube cancer after radical operation for esophageal cancer.

1999 ◽  
Vol 13 (6) ◽  
pp. 784-788
Author(s):  
Kiyoshi Hiramatsu ◽  
Ken Nakagawa ◽  
Sakae Okumura ◽  
Sigehiro Tsuchiya ◽  
Keita Iijima ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Lung Metastasis ◽  
Gastric Tube ◽  
Radical Operation ◽  
Gastric Tube Cancer ◽  
Resected Case

Gastric tube cancer after esophagectomy for esophageal cancer: A single-center experience with meta-analysis of 145 cases.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e14573-e14573
Author(s):  
Geun Dong Lee ◽  
Yong-Hee Kim ◽  
Seung-Il Park ◽  
Dong Kwan Kim ◽  
Hyeong Ryul Kim
Keyword(s):  
Esophageal Cancer ◽  
Surgical Resection ◽  
Endoscopic Resection ◽  
Gastric Tube ◽  
Palliative Treatment ◽  
Meta Analysis ◽  
Gastric Conduit ◽  
Survival Duration ◽  
Gastric Tube Cancer

e14573 Background: Gastric tube cancer (GTC) defined as carcinoma arising in the gastric conduit after esophagectomy, is often crucial in long-term survivors of esophageal cancer. The aim of this study was to determine the optimal approach to manage GTC. Methods: We reviewed data of 863 patients who underwent esophagectomy and reconstruction with the gastric conduit for esophageal cancer at Asan Medical Center from 1993 to 2011 and identified 28 cases of GTC. We also searched through the PubMed database and included additional 117 cases of GTC from 13 studies to conduct meta-analysis. Results: In our cases, the incidence rate of GTC was 3.2%. The median interval between esophagectomy and GTC detection was 3.1 (0.6-15.2) years. Twelve (42.9%) patients were asymptomatic and diagnosed by periodic endoscopy. The Most common histologic type of GTC was adenocarcinoma (57.1%) and fifteen (53.6%) were located on the lower third of gastric tube. Chemotherapy, total gastrectomy or palliative treatment was performed in 10, 5, 2 patients, respectively. Eleven (39.3%) patients refused the further treatment for GTC. Mean survival duration of 28 patients after the diagnosis of GTC was 29.1 months. In meta-analysis, The cumulative occurrence of 5, 8 years was 59.5%, 87.8%, respectively. Two-year survival rate of the patients who underwent endoscopic resection, surgical resection or palliative treatment was 100%, 61.6%, 5.2%, respectively. The patients who underwent endoscopic resection had a better prognosis than those who underwent surgical resection or those who received palliative treatment (p=0.047, p=0.000, respectively). Conclusions: After esophagectomy for esophageal cancer, patients had a constant risk of GTC occurrence up to 8 years approximately. The patients who diagnosed as advanced-state GTC had a poor prognosis. However, endoscopic resection as a minimally invasive treatment for early-GTC represented a feasible prognosis compared with those of operative resection or palliative treatment. Therefore, a long-term follow-up including detailed endoscopy is essential for the better outcomes in patients who underwent esophagectomy for esophageal cancer.

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