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 |
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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. |
doi_str_mv | 10.1007/s00423-008-0397-0 |
format | Article |
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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.</description><identifier>ISSN: 1435-2443</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-008-0397-0</identifier><identifier>PMID: 18704486</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>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</subject><ispartof>Langenbeck's archives of surgery, 2009-03, Vol.394 (2), p.383-385</ispartof><rights>The Author(s) 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-c40fafae065b8b7dfd98196b8917944f0d59d5c4f5f58186ba90678bc4aff1de3</citedby><cites>FETCH-LOGICAL-c385t-c40fafae065b8b7dfd98196b8917944f0d59d5c4f5f58186ba90678bc4aff1de3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-008-0397-0$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-008-0397-0$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,778,782,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18704486$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Belyaev, Orlin</creatorcontrib><creatorcontrib>Muller, Christophe A.</creatorcontrib><creatorcontrib>Uhl, Waldemar</creatorcontrib><title>Satisfactory long-term results after simultaneous resection of the esophagus, stomach and pancreas</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><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.</description><subject>Abdominal Surgery</subject><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - surgery</subject><subject>Anastomosis, Surgical</subject><subject>Appendectomy</subject><subject>Barrett Esophagus - surgery</subject><subject>Cardiac Surgery</subject><subject>Case Management and Clinical Consequences</subject><subject>Cholangitis - surgery</subject><subject>Cholecystectomy</subject><subject>Colon, Descending - surgery</subject><subject>Combined Modality Therapy</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastrectomy</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Pancreaticoduodenectomy</subject><subject>Pancreatitis, Chronic - surgery</subject><subject>Quality of Life</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Vascular Surgery</subject><issn>1435-2443</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwA1iQJyYC58RJnBFVfEmVGIDZchy7TZXExecM_fe4SgUby33o3nt19xByzeCeAZQPCMDTLAEQCWRVmcAJmTOe5UnKc3b6W_NsRi4QtwBQlBU_JzMmSuBcFHNSf6jQolU6OL-nnRvWSTC-p97g2AWkysaWYtvHTg3GjXgYGR1aN1BnadgYatDtNmo94h3F4HqlN1QNDd2pQXuj8JKcWdWhuTrmBfl6fvpcviar95e35eMq0ZnIQ6I5WGWVgSKvRV02tqkEq4paVCwezS00edXkmtvc5oKJolZVfEfUmitrWWOyBbmdfHfefY8Gg-xb1KbrprtlUQiRAqRRyCah9g7RGyt3vu2V30sG8gBWTmBlBCsPYGNYkJuj-Vj3pvnbOJKMgnQSYBwNa-Pl1o1-iA__4_oDaSeFuw</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Belyaev, Orlin</creator><creator>Muller, Christophe A.</creator><creator>Uhl, Waldemar</creator><general>Springer-Verlag</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090301</creationdate><title>Satisfactory long-term results after simultaneous resection of the esophagus, stomach and pancreas</title><author>Belyaev, Orlin ; Muller, Christophe A. ; Uhl, Waldemar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-c40fafae065b8b7dfd98196b8917944f0d59d5c4f5f58186ba90678bc4aff1de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abdominal Surgery</topic><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma - surgery</topic><topic>Anastomosis, Surgical</topic><topic>Appendectomy</topic><topic>Barrett Esophagus - surgery</topic><topic>Cardiac Surgery</topic><topic>Case Management and Clinical Consequences</topic><topic>Cholangitis - surgery</topic><topic>Cholecystectomy</topic><topic>Colon, Descending - surgery</topic><topic>Combined Modality Therapy</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastrectomy</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Pancreaticoduodenectomy</topic><topic>Pancreatitis, Chronic - surgery</topic><topic>Quality of Life</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Belyaev, Orlin</creatorcontrib><creatorcontrib>Muller, Christophe A.</creatorcontrib><creatorcontrib>Uhl, Waldemar</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Belyaev, Orlin</au><au>Muller, Christophe A.</au><au>Uhl, Waldemar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Satisfactory long-term results after simultaneous resection of the esophagus, stomach and pancreas</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>394</volume><issue>2</issue><spage>383</spage><epage>385</epage><pages>383-385</pages><issn>1435-2443</issn><eissn>1435-2451</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18704486</pmid><doi>10.1007/s00423-008-0397-0</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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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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