Clinical outcome of esophageal cancer patients with history of gastrectomy

Abstract

Surgical treatment of esophageal cancer patients after gastrectomy was complicated but tolerable, and should be considered as a reliable therapeutic modality because of favorable patient prognosis.

Esophageal reconstruction using the terminal ileum and right colon in esophageal cancer surgery

“…With respect to the individual complications of colon interposition, scrupulous attention should be directed towards anastomotic leakage and conduit necrosis, which more frequently arise after colon interposition than after gastric reconstruction [7,8]. The reported incidences of anastomotic leakage and conduit necrosis after colon interposition are 0-46.4 and 0-9.4%, respectively (Table 6), and these complications primarily result in prolonged hospitalization [20].…”

“…The number of patients with esophageal cancer, whose stomach cannot be used as an esophageal substitute, is increasing [8,12]. This might be due to an increasing incidence of secondary esophageal cancer arising as a result of the improved postoperative prognosis of patients with gastric cancer [13], or to an increase in the rate of esophagogastric cancer [14].…”

“…Compared with gastric tube reconstruction, the disadvantages of colon interposition include a long operative time required for colon mobilization and additional anastomosis, which increases surgical stress and the incidence of postoperative complications [7,8]. An ideal colon conduit should be of adequate length, have a reliable blood supply, and result in good swallowing function.…”

Superdrainage of the ileocolic vein to the internal jugular vein interposed by an inferior mesenteric vein graft in replacing the esophagus with the right hemicolon

“…6,7 We believe that these procedures are somewhat time consuming and are not easily applicable to a subtotal esophagectomy which in itself is one of the most invasive digestive surgeries. [9][10][11] On the other hand, the harvesting of an IMV graft can be easily performed. It takes less than 10 min to harvest an IMV graft from the mesocolon.…”

Surgical Treatment and Prognosis of Esophageal Cancer After Distal Gastrectomy

“…11,12 Considering the high proportion of patients with esophageal cancer in the lower thoracic esophagus who had undergone gastrectomy and the presence of esophagitis in patients with lower thoracic esophageal cancer who had undergone gastrectomy, esophagitis may be associated with the development of esophageal cancer. 13 In histologic investigation of the resected specimens, we noted cases of lower esophageal cancer with previous gastrectomy, with evidence of esophagitis. Gastric remnant has been recognized as a precancerous condition.…”