Satisfactory long-term results after simultaneous resection of the esophagus, stomach and pancreas

Purpose Surgical procedures for esophageal cancer and chronic pancreatitis are demanding and still characterized by high morbidity and mortality. Cases of one-stage combined operations on the pancreas and esophagus with a long-term follow-up are rarely reported. Materials and methods We present the...

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Veröffentlicht in:Langenbeck's archives of surgery 2009-03, Vol.394 (2), p.383-385
Hauptverfasser: Belyaev, Orlin, Muller, Christophe A., Uhl, Waldemar
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creator Belyaev, Orlin
Muller, Christophe A.
Uhl, Waldemar
description Purpose Surgical procedures for esophageal cancer and chronic pancreatitis are demanding and still characterized by high morbidity and mortality. Cases of one-stage combined operations on the pancreas and esophagus with a long-term follow-up are rarely reported. Materials and methods We present the case of a 54-year-old woman with a Barrett’s carcinoma and an 8-year history of severe chronic pancreatitis complicated with multiple episodes of cholangitis and resistant to conservative treatment. Results After a successful one-stage operation consisting of esophagogastrectomy and pancreaticoduodenectomy, a 30-month disease-free follow-up with a good quality of life has been observed. Conclusion Complicated surgical procedures such as one-stage multiple organ resections may offer, in selected cases, satisfactory long-term results, provided that patients are treated at a high-volume center by a multidisciplinary team.
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subjects Abdominal Surgery
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Anastomosis, Surgical
Appendectomy
Barrett Esophagus - surgery
Cardiac Surgery
Case Management and Clinical Consequences
Cholangitis - surgery
Cholecystectomy
Colon, Descending - surgery
Combined Modality Therapy
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophagectomy
Female
Follow-Up Studies
Gastrectomy
General Surgery
Humans
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Staging
Pancreaticoduodenectomy
Pancreatitis, Chronic - surgery
Quality of Life
Thoracic Surgery
Traumatic Surgery
Vascular Surgery
title Satisfactory long-term results after simultaneous resection of the esophagus, stomach and pancreas
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