Primary Gastric Conduit Cancer 10 Years after Esophagectomy for Esophageal Adenocarcinoma

Journal Title: Surgery & Case Studies: Open Access Journal - Year 2018, Vol 1, Issue 4

Abstract

Primary gastric conduit cancer (GCC) is a known but rare occurrence post-esophagectomy with gastric reconstruction of the esophagus. As improvements in post-esophagectomy treatment and surveillance have increased patient survival, GCC is becoming more common, with a reported incidence of 0.2-3.5%. We present the case of a 76-year-old man with metachronous adenocarcinoma of the gastric conduit antrum 10 years after Ivor-Lewis esophagectomy for esophageal adenocarcinoma. He was treated by a total gastrectomy with colonic interposition for esophageal reconstruction. Surgical management of esophageal cancer involves esophagectomy with esophageal reconstruction. Creation of a gastric conduit is the preferred approach for reconstruction due to the stomach’s rich blood supply, length, and ease of transposition [1-3]. Esophageal cancer is associated with a risk of second primary malignancies of the gastrointestinal tract with an incidence of 8-12% [1,3-5]. Gastric conduit cancer (GCC) is defined as a metachronous cancer in the gastric conduit used for esophageal reconstruction after esophagectomy [3,4]. As improvements in post-esophagectomy treatment and surveillance have increased patient survival, GCC is becoming more common, with a reported incidence of 0.2-3.5% [1,4-7]. This is the case of a 76-year-old man with metachronous adenocarcinoma of the gastric antrum 10 years after Ivor-Lewis esophagectomy for esophageal adenocarcinoma. He was treated by a total gastrectomy with colonic interposition for esophageal reconstruction.

Authors and Affiliations

Johanna Lou, Jeffrey M Farma

Keywords

Related Articles

Sternal Cleft: Appropriate Approach to Diagnosis and Treatment

Sternal cleft (SC) is a rare congenital anomaly of the chest wall, isolated or combined with other malformations. We try to provide an appropriate stepwise approach for the diagnosis and treatment of SC. Prenatal ultraso...

Quantification of MicroRNAs for the Diagnostic Screening of Colon Cancer in Human Stool by Absolute Digital(d)PCR*

There is currently no validated micro(mi)RNA diagnostic stool test to screen for colon cancer (CC) on the market because of the complexity of fecal density, vulnerability of stool to daily changes, and the presence of th...

An Unusual Case of Pre-Auricular Myiasis

Background: Myiasis-the feeding of fly larvae on living mammals has various clinical presentations depending on involved tissues or organs. The most recognised causative organism Dermatobia hominis. It involves various s...

All-On-Four Treatment Concept in Dental Implants: A Review Articles

Edentulism has been demonstrated to have negative social and psychological effects on individuals that include adverse impacts on facial and oral esthetics, masticatory function and speech abilities, that when combined,...

Preoperative Parenteral Iron Supplementation in Critical Mesenteric Ischaemia

Background Symptomatic mesenteric ischaemia is an uncommon disease entity which can prove complicated to diagnose and manage. Both endovascular and open operative approaches have been described but the nutritional compli...

Download PDF file
  • EP ID EP638403
  • DOI 10.32474/SCSOAJ.2018.01.000116
  • Views 111
  • Downloads 0

How To Cite

Johanna Lou, Jeffrey M Farma (2018). Primary Gastric Conduit Cancer 10 Years after Esophagectomy for Esophageal Adenocarcinoma. Surgery & Case Studies: Open Access Journal, 1(4), 70-73. https://www.europub.co.uk/articles/-A-638403