Second primary double carcinomas of the residual cervical esophagus and the gastric tube after thoracic esophagectomy

Ikeda, Yoshifumi; Tobari, Shoichi; Niimi, Masanori; Kodaira, Susumu; Okinaga, Kota

doi:10.1016/s0022-5223(03)00052-7

Cited by 9 publications

(13 citation statements)

References 4 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Synchronous gastric carcinomas with esophageal malignancies are diagnosed in 4.1% of cases 3 . Adenocarcinoma that develops in the gastric tube used for esophageal replacement after esophagectomy for cancer may be found in 0.2–3.5% of patients 1,2,4–9 . In our experience, we observed two cases of gastric tube carcinomas among 750 cases who had surgical resection for esophageal cancer by Ivor Lewis procedure, from 1980–2005 (0.2%).…”

Section: Discussionmentioning

confidence: 63%

“…Tumors diagnosed clinically are associated with short‐term survival, whereas the cancers detected by periodic endoscopic screening have occasional long‐term survival 2 . Some reports have shown the importance of an annual endoscopic examination after radical esophagectomy to detect early gastric cancer 1,2,4–6 . Motoyama et al.…”

Section: Discussionmentioning

confidence: 99%

“…Total or partial gastrectomy for gastric tube cancer is a complex procedure and carries high morbidity and mortality rates 1,5,6 . The difficulties of the operative procedure differ according to the route of the prior esophageal reconstruction and influence the resection rate.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Metachronous cancer of gastroplasty after esophagectomy

Atmani

Topart

Vandenbroucke

et al. 2006

Diseases of the Esophagus

View full text Add to dashboard Cite

We reviewed two cases of adenocarcinoma of the gastric tube used for reconstruction after esophagectomy for cancer. The first case gastric cancer was detected during follow-up by endoscopic examination. Total resection of the gastric tube and reconstruction by Roux-en-Y was performed each time. The patient was alive and disease-free 1 year after surgery. In the second case the tumor was revealed via thoracic pain. Chemotherapy, using carboplatin-5-fluorouracil, was performed because of lung metastasis but the patient died 1 year later. The incidence of gastric tube cancer after esophagectomy has recently increased in conjunction with the lengthening of survival of esophageal cancer patients. The clinical symptoms related to tumors are associated with short-term survival, whereas the cancers detected by routine endoscopy screening have occasional long-term survival. Gastrectomy is proposed for surgical treatment but the operating procedure is complex with a high morbidity rate. Lesions detected at an early stage could be treated by minimally invasive surgery such as endoscopic mucosal resection.

show abstract

Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Metachronous cancer of gastroplasty after esophagectomy

Atmani

Topart

Vandenbroucke

et al. 2006

Diseases of the Esophagus

View full text Add to dashboard Cite

show abstract

“…In case reports, Ikeda et al . reported surgical resection of the residual cervical esophagus and gastric tube for residual cervical esophageal cancer and cancer of the gastric tube 14 …”

Section: Discussionmentioning

confidence: 99%

Outcomes of endoscopic and surgical resection for a second primary cancer in the residual cervical esophagus after thoracic esophagectomy

Usami¹,

Motoyama²,

Matsuhashi

et al. 2011

Diseases of the Esophagus

View full text Add to dashboard Cite

Patients who have received subtotal esophagectomy for thoracic esophageal cancer must be closely monitored for second primary malignancies. The purpose of this study is to review and assess patients who developed a second primary esophageal cancer in the residual cervical esophagus. Between 1996 and 2010, 10 patients were diagnosed in our hospital with esophageal squamous cell cancer in the residual cervical esophagus after undergoing thoracic esophagectomy and were treated with endoscopic or surgical resection. Data from these patients were reviewed retrospectively. Seven of the 10 patients (70%) had multiple primary carcinoma lesions at the time of their esophagectomy. A second primary cancer in the residual cervical esophagus was detected in eight patients during follow-up endoscopic examinations while the patients were still asymptomatic. Seven of the patients underwent endoscopic resection for a superficial cancer. None of those patients experienced any complications, and all are currently alive and cancer-free. The remaining three patients underwent resection of the cervical esophagus with regional lymph node dissection. Two of those patients experienced severe complications; one subsequently died (hospital death) from pneumonia, 12 months after surgery, while the other died from recurrence of his cancer. The third patient is alive and cancer-free. Early detection of a second primary malignancy in the residual cervical esophagus followed by endoscopic resection is the best treatment strategy for patients who previously received subtotal esophagectomy for thoracic esophageal cancer. Surgical resection puts patients at high risk of mortality or morbidity.

show abstract

“…As esophagectomized patients survive longer, the incidences of metachronous cancer of their gastric pull-up are now a challenge because the majority of patients undergo gastric pull-up reconstruction [4,5]. Once the cancer reaches an advanced stage, patients require the surgical resection of the gastric pull-up and re-reconstruction with an intestinal segment [6,7]. Therefore, periodic surveillance endoscopy is required to detect the cancer at an early stage and to allow its removal by endoscopic mucosal resection or endoscopic submucosal dissection [8,9].…”

mentioning

confidence: 99%

Incidence of food residue interfering with postoperative endoscopic examination for gastric pull-up after esophagectomy

et al. 2015

View full text Add to dashboard Cite

IntroductionEsophageal cancer is the fifth most common cause of cancer-related death in men and the eighth most common cause in women, worldwide [1]. Because of perioperative chemotherapy and/or radiation therapy, the prognosis of patients with resectable esophageal cancer has improved, and the 5-year survival rate has been reported to be 40-50 % [2, 3]. As esophagectomized patients survive longer, the incidences of metachronous cancer of their gastric pull-up are now a challenge because the majority of patients undergo gastric pull-up reconstruction [4,5]. Once the cancer reaches an advanced stage, patients require the surgical resection of the gastric pull-up and re-reconstruction with an intestinal segment [6,7]. Therefore, periodic surveillance endoscopy is required to detect the cancer at an early stage and to allow its removal by endoscopic mucosal resection or endoscopic submucosal dissection [8,9].Appropriate endoscopic preparation is important for the observation of the entire surface of the upper gastrointestinal tract for any suspicious lesions. The presence of food residue can obscure the tract surface, resulting in overlooked lesions or a requirement of reexamination [10,11]. In spite of appropriate preparation, food residue that interferes with the examination is occasionally observed in an operated stomach because of its gastro-pyloric hypomotility [12]. However, if the risk factors for food residue are determined, patients at high risk for presenting food residue can be prepared more carefully for a higher quality endoscopic examination. Although the incidence of food AbstractBackground In spite of appropriate preparation, food residue that interferes with endoscopic examination is occasionally observed in an operated stomach. The present study aimed to elucidate the incidence of such food residue and determine its risk factors in gastric pull-up after esophagectomy. Methods A total of 116 esophagectomized patients underwent the first postoperative endoscopy to survey their gastric pull-up with a median interval of 14 months (range 6-24) after the surgery. Fasting time was 13-16 h before the examination. The amount of food residue was retrospectively classified from Grade 0 (no food residue) to Grade 4 (a large amount of food residue) by two expert endoscopists. Results Among the 116 patients, 73 patients were classified as Grade 0, 23 patients as Grade 1, 10 patients as Grade 2, 9 patients as Grade 3, and 1 patient as Grade 4. Food residue (≥Grade 2) that interfered with the examination was observed in 20 patients (17.2 %). There was no significant association between the food residue and patient baseline characteristics. Conclusion The food residue interfering with postoperative endoscopic examination was observed in 17.2 % of all surveyed gastric pull-ups.

show abstract

Second primary double carcinomas of the residual cervical esophagus and the gastric tube after thoracic esophagectomy

Cited by 9 publications

References 4 publications

Metachronous cancer of gastroplasty after esophagectomy

Metachronous cancer of gastroplasty after esophagectomy

Outcomes of endoscopic and surgical resection for a second primary cancer in the residual cervical esophagus after thoracic esophagectomy

Incidence of food residue interfering with postoperative endoscopic examination for gastric pull-up after esophagectomy

Contact Info

Product

Resources

About