Palliative cardia resection with gastroesophageal reconstruction for perforated carcinoma of the gastroesophageal junction

Iatrogenic perforation of esophageal cancer or cancer of the gastroesophageal （GE） junction is a serious complication that, in addition to short term morbidity and mortality, significantly compromises the success of any subsequent oncological therapy. Here, we present an 82-year-old man with iatroge...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2009-06, Vol.15 (24), p.3065-3067
Main Authors: Gillen, Sonja, Friess, Helmut, Kleeff, Jörg
Format: Article
Language:English
Subjects:
Aged, 80 and over
Cardia - surgery
Case Report
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophageal Perforation - surgery
Esophagogastric Junction - pathology
Esophagogastric Junction - surgery
Humans
Male
Palliative Care
Reconstructive Surgical Procedures - methods
外科手术
手术治疗
肿瘤治疗
通用电气
食管癌
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Summary:Iatrogenic perforation of esophageal cancer or cancer of the gastroesophageal （GE） junction is a serious complication that, in addition to short term morbidity and mortality, significantly compromises the success of any subsequent oncological therapy. Here, we present an 82-year-old man with iatrogenic perforation of ad- enocarcinoma of the GE junction. Immediate surgical intervention included palliative resection and GE reconstruction. In the case of iatrogenic tumor perforation, the primary goal should be adequate palliative （and not oncological） therapy. The different approaches for iatrogenic perforation, i.e. surgical versus endoscopic therapy are discussed.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.15.3065