Successful multidisciplinary treatment for synchronous advanced esophageal and cecal cancers after total gastrectomy with reconstruction by jejunal interposition
Abstract Background Esophageal squamous cell carcinoma is characterized by field cancerization, wherein multiple cancers occur in the esophagus, head and neck, and stomach. Synchronous esophageal and colorectal cancers are also encountered with a certain frequency. A good prognosis can be expected i...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12957-024-03361-1 |
| _version_ | 1797259247771189248 |
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| author | Yuta Sato Yoshihiro Tanaka Kazuo Yamamoto Takeshi Horaguchi Masahiro Fukada Yuki Sengoku Itaru Yasufuku Ryuichi Asai Jesse Yu Tajima Shigeru Kiyama Takazumi Kato Katsutoshi Murase Nobuhisa Matsuhashi |
| author_facet | Yuta Sato Yoshihiro Tanaka Kazuo Yamamoto Takeshi Horaguchi Masahiro Fukada Yuki Sengoku Itaru Yasufuku Ryuichi Asai Jesse Yu Tajima Shigeru Kiyama Takazumi Kato Katsutoshi Murase Nobuhisa Matsuhashi |
| author_sort | Yuta Sato |
| collection | DOAJ |
| description | Abstract Background Esophageal squamous cell carcinoma is characterized by field cancerization, wherein multiple cancers occur in the esophagus, head and neck, and stomach. Synchronous esophageal and colorectal cancers are also encountered with a certain frequency. A good prognosis can be expected if the tumors in both locations can be safely and completely removed. For patients with multiple cancers that occur simultaneously with esophageal cancer, it is necessary to perform a staged operation, taking into consideration the associated surgical invasiveness. It is also necessary to select multidisciplinary treatment depending on the degree of progression of the multiple lesions. We report our rare experience with a staged operation for a patient with synchronous advanced cancers of the esophagus and cecum who had previously undergone total gastrectomy with reconstruction by jejunal interposition for gastric cancer. Case presentation A 71-year-old man with a history of reconstruction by jejunal interposition after total gastrectomy was diagnosed as having multiple synchronous esophageal and cecal cancers. After neoadjuvant chemotherapy, we performed a planned two-stage operation, with esophagectomy and jejunostomy in the first stage and ileocecal resection and jejunal reconstruction with vascular anastomosis in the second. Postoperatively, the patient was relieved without major complications, and both tumors were amenable to curative pathologic resection. Conclusions Our procedure reported here may be recommended as an option for staged resection and reconstruction in patients with simultaneous advanced esophageal and cecal cancer after total gastrectomy. |
| first_indexed | 2024-04-24T23:06:24Z |
| format | Article |
| id | doaj.art-d133079d809d4af99d0c4bba76d23188 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-04-24T23:06:24Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-d133079d809d4af99d0c4bba76d231882024-03-17T12:28:05ZengBMCWorld Journal of Surgical Oncology1477-78192024-03-012211810.1186/s12957-024-03361-1Successful multidisciplinary treatment for synchronous advanced esophageal and cecal cancers after total gastrectomy with reconstruction by jejunal interpositionYuta Sato0Yoshihiro Tanaka1Kazuo Yamamoto2Takeshi Horaguchi3Masahiro Fukada4Yuki Sengoku5Itaru Yasufuku6Ryuichi Asai7Jesse Yu Tajima8Shigeru Kiyama9Takazumi Kato10Katsutoshi Murase11Nobuhisa Matsuhashi12Department of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineDepartment of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of MedicineAbstract Background Esophageal squamous cell carcinoma is characterized by field cancerization, wherein multiple cancers occur in the esophagus, head and neck, and stomach. Synchronous esophageal and colorectal cancers are also encountered with a certain frequency. A good prognosis can be expected if the tumors in both locations can be safely and completely removed. For patients with multiple cancers that occur simultaneously with esophageal cancer, it is necessary to perform a staged operation, taking into consideration the associated surgical invasiveness. It is also necessary to select multidisciplinary treatment depending on the degree of progression of the multiple lesions. We report our rare experience with a staged operation for a patient with synchronous advanced cancers of the esophagus and cecum who had previously undergone total gastrectomy with reconstruction by jejunal interposition for gastric cancer. Case presentation A 71-year-old man with a history of reconstruction by jejunal interposition after total gastrectomy was diagnosed as having multiple synchronous esophageal and cecal cancers. After neoadjuvant chemotherapy, we performed a planned two-stage operation, with esophagectomy and jejunostomy in the first stage and ileocecal resection and jejunal reconstruction with vascular anastomosis in the second. Postoperatively, the patient was relieved without major complications, and both tumors were amenable to curative pathologic resection. Conclusions Our procedure reported here may be recommended as an option for staged resection and reconstruction in patients with simultaneous advanced esophageal and cecal cancer after total gastrectomy.https://doi.org/10.1186/s12957-024-03361-1Esophageal cancerColorectal cancerSynchronous cancersReconstructionJejunal interposition |
| spellingShingle | Yuta Sato Yoshihiro Tanaka Kazuo Yamamoto Takeshi Horaguchi Masahiro Fukada Yuki Sengoku Itaru Yasufuku Ryuichi Asai Jesse Yu Tajima Shigeru Kiyama Takazumi Kato Katsutoshi Murase Nobuhisa Matsuhashi Successful multidisciplinary treatment for synchronous advanced esophageal and cecal cancers after total gastrectomy with reconstruction by jejunal interposition World Journal of Surgical Oncology Esophageal cancer Colorectal cancer Synchronous cancers Reconstruction Jejunal interposition |
| title | Successful multidisciplinary treatment for synchronous advanced esophageal and cecal cancers after total gastrectomy with reconstruction by jejunal interposition |
| title_full | Successful multidisciplinary treatment for synchronous advanced esophageal and cecal cancers after total gastrectomy with reconstruction by jejunal interposition |
| title_fullStr | Successful multidisciplinary treatment for synchronous advanced esophageal and cecal cancers after total gastrectomy with reconstruction by jejunal interposition |
| title_full_unstemmed | Successful multidisciplinary treatment for synchronous advanced esophageal and cecal cancers after total gastrectomy with reconstruction by jejunal interposition |
| title_short | Successful multidisciplinary treatment for synchronous advanced esophageal and cecal cancers after total gastrectomy with reconstruction by jejunal interposition |
| title_sort | successful multidisciplinary treatment for synchronous advanced esophageal and cecal cancers after total gastrectomy with reconstruction by jejunal interposition |
| topic | Esophageal cancer Colorectal cancer Synchronous cancers Reconstruction Jejunal interposition |
| url | https://doi.org/10.1186/s12957-024-03361-1 |
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