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Case Reports
. 2012 Feb;45(1):53-5.
doi: 10.5090/kjtcs.2012.45.1.53. Epub 2012 Feb 7.

Total gastrectomy in gastric conduit cancer

Jae Jun Kim  1 , Jae Kil Park, Young Pil Wang, Sook Whan Sung, Hyung Joo Park, Seok In Lee
Affiliations
Case Reports

Total gastrectomy in gastric conduit cancer

Jae Jun Kim et al. Korean J Thorac Cardiovasc Surg. 2012 Feb.

Abstract

We report a very rare case of surgery on gastric conduit cancer. A 67-year-old male patient underwent esophagectomy and intrathoracic esophagogastrostomy for squamous cell carcinoma of the lower thoracic esophagus 27 months ago. Upon follow-up, a gastric carcinoma at the intra-abdominal part of the gastric conduit was found on an esophagogastroduodenoscopy. We performed total gastrectomy and esophagocolonojejunostomy in the manner of Roux-en-Y anastomosis. The postoperative course was not eventful and an esophagogram on the 10th postoperative day showed no leakage or stenosis of the passage. The patient was discharged on the 17th day with no complications.

Keywords: Conduit cancer; Esophageal cancer.

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Figures

Fig. 1
Fig. 1
Preoperative esophagogastroduodenoscopy showed the tumor (arrow) was a 2a+2c type lesion and located on the posterior wall of the antrum. Because of its morphology (flat and depressed type with ulceration), size (more than 10 mm), and poor localization, endoscopic mucosal resection or partial gastric resection was not suitable.
Fig. 2
Fig. 2
The operation findings: arrows indicate the anastomotic site between the esophagus and gastric conduit (GC). Eso=distal part of esophagus.
Fig. 3
Fig. 3
The gross specimen. Arrow and circle: gastric conduit (GC) cancer. OM=omentum.
Fig. 4
Fig. 4
The postoperative esophagogram showed no leakage or stenosis of the passage (arrow: anastomosis site between esophagus and left colon).
See this image and copyright information in PMC

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