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
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- EP ID EP638403
- DOI 10.32474/SCSOAJ.2018.01.000116
- Views 97
- Downloads 0
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