Recurrent gastric carcinoma causing pseudoachalasia: case report
We report the case of a patient with a gastric remnant relapse of an antral carcinoma resected 5 years before and presenting with the clinical feature of a secondary achalasia (pseudoachalasia). In spite of the patient’s 4‐month history of dysphagia and weight loss that suggested a malignant lesion,...
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Veröffentlicht in: | Diseases of the esophagus 2000-03, Vol.13 (1), p.87-90 |
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creator | Iascone, C. Maffi, C. Pascazio, C. Sciacca, V. |
description | We report the case of a patient with a gastric remnant relapse of an antral carcinoma resected 5 years before and presenting with the clinical feature of a secondary achalasia (pseudoachalasia). In spite of the patient’s 4‐month history of dysphagia and weight loss that suggested a malignant lesion, barium swallow, repeated endoscopic biopsies and computed tomography (CT) scan of the upper abdomen did not reveal any abnormalities to indicate a recurrence. However, in the following months, because of worsening symptoms, a further CT scan was performed and revealed thickening of the cardia and gastric wall. The patient underwent an exploratory laparotomy that showed an unresectable lesion involving the gastric fundus, the diaphragm and penetrating into the mediastinum, and therefore a palliative jejunostomy was performed. |
doi_str_mv | 10.1046/j.1442-2050.2000.00085.x |
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In spite of the patient’s 4‐month history of dysphagia and weight loss that suggested a malignant lesion, barium swallow, repeated endoscopic biopsies and computed tomography (CT) scan of the upper abdomen did not reveal any abnormalities to indicate a recurrence. However, in the following months, because of worsening symptoms, a further CT scan was performed and revealed thickening of the cardia and gastric wall. The patient underwent an exploratory laparotomy that showed an unresectable lesion involving the gastric fundus, the diaphragm and penetrating into the mediastinum, and therefore a palliative jejunostomy was performed.</description><identifier>ISSN: 1120-8694</identifier><identifier>EISSN: 1442-2050</identifier><identifier>DOI: 10.1046/j.1442-2050.2000.00085.x</identifier><identifier>PMID: 11005339</identifier><language>eng</language><publisher>Oxford UK: Blackwell Science Pty</publisher><subject>Adenocarcinoma - complications ; Aged ; Esophageal Achalasia - etiology ; Humans ; Male ; Neoplasm Recurrence, Local - complications ; Stomach Neoplasms - complications</subject><ispartof>Diseases of the esophagus, 2000-03, Vol.13 (1), p.87-90</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4815-194a135ae91bf216cc58674c1959636fbd913fd9c29dbb24bf2ab689076e2b193</citedby><cites>FETCH-LOGICAL-c4815-194a135ae91bf216cc58674c1959636fbd913fd9c29dbb24bf2ab689076e2b193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1442-2050.2000.00085.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1442-2050.2000.00085.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11005339$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iascone, C.</creatorcontrib><creatorcontrib>Maffi, C.</creatorcontrib><creatorcontrib>Pascazio, C.</creatorcontrib><creatorcontrib>Sciacca, V.</creatorcontrib><title>Recurrent gastric carcinoma causing pseudoachalasia: case report</title><title>Diseases of the esophagus</title><addtitle>Dis Esophagus</addtitle><description>We report the case of a patient with a gastric remnant relapse of an antral carcinoma resected 5 years before and presenting with the clinical feature of a secondary achalasia (pseudoachalasia). In spite of the patient’s 4‐month history of dysphagia and weight loss that suggested a malignant lesion, barium swallow, repeated endoscopic biopsies and computed tomography (CT) scan of the upper abdomen did not reveal any abnormalities to indicate a recurrence. However, in the following months, because of worsening symptoms, a further CT scan was performed and revealed thickening of the cardia and gastric wall. The patient underwent an exploratory laparotomy that showed an unresectable lesion involving the gastric fundus, the diaphragm and penetrating into the mediastinum, and therefore a palliative jejunostomy was performed.</description><subject>Adenocarcinoma - complications</subject><subject>Aged</subject><subject>Esophageal Achalasia - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Neoplasm Recurrence, Local - complications</subject><subject>Stomach Neoplasms - complications</subject><issn>1120-8694</issn><issn>1442-2050</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkF1LwzAUhoMoTqd_QXrlXWtOmqaJIChzfsBgIPM6pGk6O_pl0uL2703d0FsvDueF85xz4EEoABwBpuxmEwGlJCQ4wRHBGEe-eBJtj9DZ7-DYZyA45EzQCTp3boMxpDHjp2gCgHESx-IM3b8ZPVhrmj5YK9fbUgdaWV02ba18GlzZrIPOmSFvlf5QlXKluvUDZwJrutb2F-ikUJUzl4c-Re9P89XsJVwsn19nD4tQUw5JCIIqiBNlBGQFAaZ1wllKNYhEsJgVWS4gLnKhicizjFAPqYxxgVNmSAYinqLr_d3Otp-Dcb2sS6dNVanGtIOTKSGccpp6kO9BbVvnrClkZ8ta2Z0ELEd7ciNHSXKUJEd78see3PrVq8OPIatN_rd40OWBuz3wVVZm9-_D8nG5mvsUfwMFYH1z</recordid><startdate>200003</startdate><enddate>200003</enddate><creator>Iascone, C.</creator><creator>Maffi, C.</creator><creator>Pascazio, C.</creator><creator>Sciacca, V.</creator><general>Blackwell Science Pty</general><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>200003</creationdate><title>Recurrent gastric carcinoma causing pseudoachalasia: case report</title><author>Iascone, C. ; Maffi, C. ; Pascazio, C. ; Sciacca, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4815-194a135ae91bf216cc58674c1959636fbd913fd9c29dbb24bf2ab689076e2b193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adenocarcinoma - complications</topic><topic>Aged</topic><topic>Esophageal Achalasia - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Neoplasm Recurrence, Local - complications</topic><topic>Stomach Neoplasms - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iascone, C.</creatorcontrib><creatorcontrib>Maffi, C.</creatorcontrib><creatorcontrib>Pascazio, C.</creatorcontrib><creatorcontrib>Sciacca, V.</creatorcontrib><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>Diseases of the esophagus</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iascone, C.</au><au>Maffi, C.</au><au>Pascazio, C.</au><au>Sciacca, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrent gastric carcinoma causing pseudoachalasia: case report</atitle><jtitle>Diseases of the esophagus</jtitle><addtitle>Dis Esophagus</addtitle><date>2000-03</date><risdate>2000</risdate><volume>13</volume><issue>1</issue><spage>87</spage><epage>90</epage><pages>87-90</pages><issn>1120-8694</issn><eissn>1442-2050</eissn><abstract>We report the case of a patient with a gastric remnant relapse of an antral carcinoma resected 5 years before and presenting with the clinical feature of a secondary achalasia (pseudoachalasia). In spite of the patient’s 4‐month history of dysphagia and weight loss that suggested a malignant lesion, barium swallow, repeated endoscopic biopsies and computed tomography (CT) scan of the upper abdomen did not reveal any abnormalities to indicate a recurrence. However, in the following months, because of worsening symptoms, a further CT scan was performed and revealed thickening of the cardia and gastric wall. The patient underwent an exploratory laparotomy that showed an unresectable lesion involving the gastric fundus, the diaphragm and penetrating into the mediastinum, and therefore a palliative jejunostomy was performed.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Pty</pub><pmid>11005339</pmid><doi>10.1046/j.1442-2050.2000.00085.x</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current) |
subjects | Adenocarcinoma - complications Aged Esophageal Achalasia - etiology Humans Male Neoplasm Recurrence, Local - complications Stomach Neoplasms - complications |
title | Recurrent gastric carcinoma causing pseudoachalasia: case report |
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