Volvulus of the Transverse Colon after Surgery for Esophagogastric Junction Cancer

Ohta, Yoshiko; Moriyama, Hodaka; Hashimoto, Youko; Watanabe, Ryohei; Sunouchi, Kouta; Yoshida, Yuichi; Kuroda, Hiroaki; Shinohara, Yasushi; Sakamoto, Akio

doi:10.5833/jjgs.2018.0022

Cited by 3 publications

(1 citation statement)

References 23 publications

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“…In the control group (conventional operation group), 30 patients with stage III esophagogastric junction cancer were directly treated with radical resection of esophagogastric junction cancer [21].…”

Section: Clinical Trial Of Endoscopic Ultrasonography and Ct In Preop...mentioning

confidence: 99%

[Retracted] Clinical Comparison of Endoscopic Ultrasonography and CT in Preoperative TN Staging of Esophagogastric Junction Cancer

Peng

Lou

Wang

et al. 2022

Contrast Media & Molecular Imaging

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In recent years, the incidence of esophagogastric junction cancer has increased year by year. It is a special type of gastric cancer, with 80% of patients being clinically in the middle and late stages. The traditional treatment methods are extremely ineffective, and the accuracy of preoperative staging is not good enough. At present, the medical treatment for esophagogastric junction cancer mainly adopts surgery and postoperative adjuvant therapy. The current mainstream clinical diagnostic methods of esophagogastric junction cancer before concurrent neoadjuvant chemoradiotherapy are X-ray, CT examination, and gastroscopic diagnosis. However, these clinical diagnostic methods have many limitations. Endoscopic ultrasonography (EUS) can accurately locate malignant tumors in the digestive tract, surrounding microstructures. It can diagnose lymphatic metastasis so as to provide a clear imaging basis for neoadjuvant chemoradiotherapy. This method can also effectively improve the prognosis of the esophagus and stomach according to the characteristics of the patient. In this experiment, we conducted a controlled trial on patients with stage III esophagogastric junction cancer, divided into an experimental group (neoadjuvant chemotherapy + surgery) and a control group (conventional surgery). The preoperative EUS staging in the control group, the preoperative EUS staging in the neoadjuvant chemoradiotherapy group, and the postoperative pathological staging were compared. The experiment showed that in the control group, the preoperative and postoperative accuracy of EUS was 89.2%, while the preoperative and postoperative accuracy of CT examination was only 62.5%. In the experimental group, the preoperative and postoperative accuracies of EUS and CT were 79.6% and 56.7%, respectively. EUS has both specificity and accuracy due to CT examination. Through studying EUS technology in the staging and diagnosis of esophagogastric junction cancer, the therapeutic effect of esophagogastric junction cancer can be improved. The prognosis of esophagogastric junction cancer can also be improved.

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Section: Clinical Trial Of Endoscopic Ultrasonography and Ct In Preop...mentioning

confidence: 99%

[Retracted] Clinical Comparison of Endoscopic Ultrasonography and CT in Preoperative TN Staging of Esophagogastric Junction Cancer

Peng

Lou

Wang

et al. 2022

Contrast Media & Molecular Imaging

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Volvulus of the Transverse Colon

Huerta

Pickett

Mottershaw

et al. 2021

The American Surgeon™

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Background In the United States, the third leading cause of a large bowel obstruction (LBO) is colonic volvulus with torsion occurring most commonly in the sigmoid and the cecum. Transverse colonic volvulus (TCV) is exceedingly rare and specific involvement of the splenic flexure (SFV) is even less common. The present analysis was undertaken to interrogate current trends in presentation, management, and outcomes of TCV. Methods In the present report, the world literature was reviewed for the past 90 years (1932 to 2021). We conducted a systematic review to identify all cases of TCV following the PRISMA guidelines. Results We identified 317 cases of TCV. This included SFV (n = 75), TCV in pediatric patients (n = 63), TCV in pregnant patients (n = 8), and TCV associated with other pathology such as Chilaiditi’s syndrome (n = 11). Compared to sigmoid and cecal volvulus, TCV was rare (.94%). It affected slightly more women (54%) than men, commonly in their third decade of life (37.7 ± 23.8). The clinical presentation and diagnostic imaging were consistent with LBO. Compared to sigmoid volvulus, there was a limited role for conservative management and colonoscopic decompression was less effective. The most common operation was segmental resection (25%). Mortality was (20%) commonly because of cardiopulmonary complications and affected more women (63%). The average age of this cohort was 55.7±24.6 years old. Discussion Our review showed that TCV is an uncommon surgical entity. The diagnosis is likely to be made at laparotomy. Prompt recognition is paramount in preventing ischemia necrosis and perforation. Compared to sigmoid and cecal volvulus, the mortality for TCV remains high.

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Volvulus of the Transverse Colon with 720° Organ Axis Rotation after Pancreatoduodenectomy: A Case Report

Yamashita,

Tanioka,

Maeda

et al. 2024

Jpn J Gastroenterol Surg

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Volvulus of the Transverse Colon after Surgery for Esophagogastric Junction Cancer

Cited by 3 publications

References 23 publications

[Retracted] Clinical Comparison of Endoscopic Ultrasonography and CT in Preoperative TN Staging of Esophagogastric Junction Cancer

[Retracted] Clinical Comparison of Endoscopic Ultrasonography and CT in Preoperative TN Staging of Esophagogastric Junction Cancer

Volvulus of the Transverse Colon

Volvulus of the Transverse Colon with 720° Organ Axis Rotation after Pancreatoduodenectomy: A Case Report

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