Primary gastric cancer in an oesophageal gastric graft after oesophagectomy
Objective: Recent advances in surgical treatment of oesophageal cancer have improved the prognosis of early, locally advanced oesophageal cancer. Primary cancer from oesophageal graft is rare, but has been detected in long-term survivor. We analyzed data from patients who developed primary gastric c...
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| Veröffentlicht in: | European journal of cardio-thoracic surgery 2011-11, Vol.40 (5), p.1181-1184 |
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| container_title | European journal of cardio-thoracic surgery |
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| creator | Yoon, Yoo Sang Kim, Hong Kwan Choi, Yong Soo Kim, Kwhanmien Kim, Jhingook Shim, Young Mog |
| description | Objective: Recent advances in surgical treatment of oesophageal cancer have improved the prognosis of early, locally advanced oesophageal cancer. Primary cancer from oesophageal graft is rare, but has been detected in long-term survivor. We analyzed data from patients who developed primary gastric cancer in an oesophageal graft to evaluate strategies of treatment and their outcomes. Methods: We retrospectively reviewed data from patients who developed primary gastric cancer in oesophageal graft at Samsung Medical Center between September 1994 and December 2009. The clinico-pathologic features and prognoses were investigated. Long-term survival rate was determined by Kaplan-Meier analysis. Results: Ten primary gastric graft cancers (five early gastric cancer (EGC), five advanced gastric cancer (AGC)) were diagnosed. The mean age was 69.0 (range 59.6-74.6). Initial operation was Ivor-Lewis transthoracic oesophagectomy in eight cases and three-field lymphadenectomy in two. The median period to detection of the primary gastric graft cancer after oesophagectomy was 50 (9-102) months. Seven gastric graft cancers were diagnosed by regular endoscopic examination. EGCs were treated with ESD in two cases, partial resection of stomach in one, and oesophagocolojejunostomy in three, including one patient who underwent the operation after ESD. AGCs were treated with chemotherapy in one case, supportive care in one, and oesophagocolojejunostomy in three. There was no adjuvant chemotherapy used in any case. The median follow-up period after second operation was 14 months (range 1-97). Six patients survived during this period. Three of the five AGC patients died. The estimated 5-year survival rate of our cases was 70%. Conclusions: In areas of high prevalence of stomach cancer, regular endoscopic examinations of oesophageal gastric grafts may help in the early detection of primary gastric graft cancer. Reoperation with a colon graft is a potential treatment option for primary gastric graft cancer. |
| doi_str_mv | 10.1016/j.ejcts.2011.02.061 |
| format | Article |
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Primary cancer from oesophageal graft is rare, but has been detected in long-term survivor. We analyzed data from patients who developed primary gastric cancer in an oesophageal graft to evaluate strategies of treatment and their outcomes. Methods: We retrospectively reviewed data from patients who developed primary gastric cancer in oesophageal graft at Samsung Medical Center between September 1994 and December 2009. The clinico-pathologic features and prognoses were investigated. Long-term survival rate was determined by Kaplan-Meier analysis. Results: Ten primary gastric graft cancers (five early gastric cancer (EGC), five advanced gastric cancer (AGC)) were diagnosed. The mean age was 69.0 (range 59.6-74.6). Initial operation was Ivor-Lewis transthoracic oesophagectomy in eight cases and three-field lymphadenectomy in two. The median period to detection of the primary gastric graft cancer after oesophagectomy was 50 (9-102) months. Seven gastric graft cancers were diagnosed by regular endoscopic examination. EGCs were treated with ESD in two cases, partial resection of stomach in one, and oesophagocolojejunostomy in three, including one patient who underwent the operation after ESD. AGCs were treated with chemotherapy in one case, supportive care in one, and oesophagocolojejunostomy in three. There was no adjuvant chemotherapy used in any case. The median follow-up period after second operation was 14 months (range 1-97). Six patients survived during this period. Three of the five AGC patients died. The estimated 5-year survival rate of our cases was 70%. Conclusions: In areas of high prevalence of stomach cancer, regular endoscopic examinations of oesophageal gastric grafts may help in the early detection of primary gastric graft cancer. Reoperation with a colon graft is a potential treatment option for primary gastric graft cancer.</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1016/j.ejcts.2011.02.061</identifier><identifier>PMID: 21868245</identifier><identifier>CODEN: EJCSE7</identifier><language>eng</language><publisher>Oxford: Elsevier Science B.V</publisher><subject>Aged ; Biological and medical sciences ; Cardiology. Vascular system ; Esophageal Neoplasms - surgery ; Esophagectomy - adverse effects ; Esophagectomy - methods ; Follow-Up Studies ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Male ; Medical sciences ; Middle Aged ; Neoplasms, Second Primary - etiology ; Neoplasms, Second Primary - surgery ; Pneumology ; Postoperative Complications ; Prognosis ; Retrospective Studies ; Stomach - transplantation ; Stomach Neoplasms - etiology ; Stomach Neoplasms - surgery ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Treatment Outcome ; Tumors</subject><ispartof>European journal of cardio-thoracic surgery, 2011-11, Vol.40 (5), p.1181-1184</ispartof><rights>European Association for Cardio-Thoracic Surgery European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved. 2011</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-119a3da24d0700d3cee7f13a3d9a2ac5ce718e16e8efc658dcb3a8c97becb2f3</citedby><cites>FETCH-LOGICAL-c418t-119a3da24d0700d3cee7f13a3d9a2ac5ce718e16e8efc658dcb3a8c97becb2f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24697823$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21868245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoon, Yoo Sang</creatorcontrib><creatorcontrib>Kim, Hong Kwan</creatorcontrib><creatorcontrib>Choi, Yong Soo</creatorcontrib><creatorcontrib>Kim, Kwhanmien</creatorcontrib><creatorcontrib>Kim, Jhingook</creatorcontrib><creatorcontrib>Shim, Young Mog</creatorcontrib><title>Primary gastric cancer in an oesophageal gastric graft after oesophagectomy</title><title>European journal of cardio-thoracic surgery</title><addtitle>Eur J Cardiothorac Surg</addtitle><addtitle>Eur J Cardiothorac Surg</addtitle><description>Objective: Recent advances in surgical treatment of oesophageal cancer have improved the prognosis of early, locally advanced oesophageal cancer. Primary cancer from oesophageal graft is rare, but has been detected in long-term survivor. We analyzed data from patients who developed primary gastric cancer in an oesophageal graft to evaluate strategies of treatment and their outcomes. Methods: We retrospectively reviewed data from patients who developed primary gastric cancer in oesophageal graft at Samsung Medical Center between September 1994 and December 2009. The clinico-pathologic features and prognoses were investigated. Long-term survival rate was determined by Kaplan-Meier analysis. Results: Ten primary gastric graft cancers (five early gastric cancer (EGC), five advanced gastric cancer (AGC)) were diagnosed. The mean age was 69.0 (range 59.6-74.6). Initial operation was Ivor-Lewis transthoracic oesophagectomy in eight cases and three-field lymphadenectomy in two. The median period to detection of the primary gastric graft cancer after oesophagectomy was 50 (9-102) months. Seven gastric graft cancers were diagnosed by regular endoscopic examination. EGCs were treated with ESD in two cases, partial resection of stomach in one, and oesophagocolojejunostomy in three, including one patient who underwent the operation after ESD. AGCs were treated with chemotherapy in one case, supportive care in one, and oesophagocolojejunostomy in three. There was no adjuvant chemotherapy used in any case. The median follow-up period after second operation was 14 months (range 1-97). Six patients survived during this period. Three of the five AGC patients died. The estimated 5-year survival rate of our cases was 70%. Conclusions: In areas of high prevalence of stomach cancer, regular endoscopic examinations of oesophageal gastric grafts may help in the early detection of primary gastric graft cancer. Reoperation with a colon graft is a potential treatment option for primary gastric graft cancer.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy - adverse effects</subject><subject>Esophagectomy - methods</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasms, Second Primary - etiology</subject><subject>Neoplasms, Second Primary - surgery</subject><subject>Pneumology</subject><subject>Postoperative Complications</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Stomach - transplantation</subject><subject>Stomach Neoplasms - etiology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkDtPwzAQgC0EoqXwC5BQFsSUcLbT2BkR4iUqwdCBzXKcS0mUF3Yy9N_jklJWdDqddf7uLH-EXFKIKNDktoqwMoOLGFAaAYsgoUdkTqXgoeDxx7E_A4VQpDHMyJlzFQAknIlTMmNUJpLFyzl5fbdlo-022Gg32NIERrcGbVC2gW6DDl3Xf-oN6voAbKwuhsCnpw73Zuia7Tk5KXTt8GJfF2T9-LC-fw5Xb08v93er0MRUDiGlqea5ZnEOAiDnBlEUlPteqpk2S4OCSqQJSixMspS5ybiWJhUZmowVfEFuprW97b5GdINqSmewrnWL3eiUTKXkPhJP8ok0tnPOYqH66beKgto5VJX6cah2DhUw5R36qav9_jFrMD_M_ErzwPUe0M7ourBeWen-uDhJhWTcc9HEdWP_r5e_AWaJjD4</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Yoon, Yoo Sang</creator><creator>Kim, Hong Kwan</creator><creator>Choi, Yong Soo</creator><creator>Kim, Kwhanmien</creator><creator>Kim, Jhingook</creator><creator>Shim, Young Mog</creator><general>Elsevier Science B.V</general><general>Oxford University Press</general><scope>IQODW</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>20111101</creationdate><title>Primary gastric cancer in an oesophageal gastric graft after oesophagectomy</title><author>Yoon, Yoo Sang ; Kim, Hong Kwan ; Choi, Yong Soo ; Kim, Kwhanmien ; Kim, Jhingook ; Shim, Young Mog</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-119a3da24d0700d3cee7f13a3d9a2ac5ce718e16e8efc658dcb3a8c97becb2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy - adverse effects</topic><topic>Esophagectomy - methods</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasms, Second Primary - etiology</topic><topic>Neoplasms, Second Primary - surgery</topic><topic>Pneumology</topic><topic>Postoperative Complications</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Stomach - transplantation</topic><topic>Stomach Neoplasms - etiology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoon, Yoo Sang</creatorcontrib><creatorcontrib>Kim, Hong Kwan</creatorcontrib><creatorcontrib>Choi, Yong Soo</creatorcontrib><creatorcontrib>Kim, Kwhanmien</creatorcontrib><creatorcontrib>Kim, Jhingook</creatorcontrib><creatorcontrib>Shim, Young Mog</creatorcontrib><collection>Pascal-Francis</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>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoon, Yoo Sang</au><au>Kim, Hong Kwan</au><au>Choi, Yong Soo</au><au>Kim, Kwhanmien</au><au>Kim, Jhingook</au><au>Shim, Young Mog</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary gastric cancer in an oesophageal gastric graft after oesophagectomy</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><stitle>Eur J Cardiothorac Surg</stitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>40</volume><issue>5</issue><spage>1181</spage><epage>1184</epage><pages>1181-1184</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><coden>EJCSE7</coden><abstract>Objective: Recent advances in surgical treatment of oesophageal cancer have improved the prognosis of early, locally advanced oesophageal cancer. Primary cancer from oesophageal graft is rare, but has been detected in long-term survivor. We analyzed data from patients who developed primary gastric cancer in an oesophageal graft to evaluate strategies of treatment and their outcomes. Methods: We retrospectively reviewed data from patients who developed primary gastric cancer in oesophageal graft at Samsung Medical Center between September 1994 and December 2009. The clinico-pathologic features and prognoses were investigated. Long-term survival rate was determined by Kaplan-Meier analysis. Results: Ten primary gastric graft cancers (five early gastric cancer (EGC), five advanced gastric cancer (AGC)) were diagnosed. The mean age was 69.0 (range 59.6-74.6). Initial operation was Ivor-Lewis transthoracic oesophagectomy in eight cases and three-field lymphadenectomy in two. The median period to detection of the primary gastric graft cancer after oesophagectomy was 50 (9-102) months. Seven gastric graft cancers were diagnosed by regular endoscopic examination. EGCs were treated with ESD in two cases, partial resection of stomach in one, and oesophagocolojejunostomy in three, including one patient who underwent the operation after ESD. AGCs were treated with chemotherapy in one case, supportive care in one, and oesophagocolojejunostomy in three. There was no adjuvant chemotherapy used in any case. The median follow-up period after second operation was 14 months (range 1-97). Six patients survived during this period. Three of the five AGC patients died. The estimated 5-year survival rate of our cases was 70%. Conclusions: In areas of high prevalence of stomach cancer, regular endoscopic examinations of oesophageal gastric grafts may help in the early detection of primary gastric graft cancer. Reoperation with a colon graft is a potential treatment option for primary gastric graft cancer.</abstract><cop>Oxford</cop><pub>Elsevier Science B.V</pub><pmid>21868245</pmid><doi>10.1016/j.ejcts.2011.02.061</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Biological and medical sciences Cardiology. Vascular system Esophageal Neoplasms - surgery Esophagectomy - adverse effects Esophagectomy - methods Follow-Up Studies Gastroenterology. Liver. Pancreas. Abdomen Humans Male Medical sciences Middle Aged Neoplasms, Second Primary - etiology Neoplasms, Second Primary - surgery Pneumology Postoperative Complications Prognosis Retrospective Studies Stomach - transplantation Stomach Neoplasms - etiology Stomach Neoplasms - surgery Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Treatment Outcome Tumors |
| title | Primary gastric cancer in an oesophageal gastric graft after oesophagectomy |
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