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Distal gastric tube resection with vascular preservation for gastric tube cancer: A case report and review of literature
BACKGROUND: Survival rates in patients with esophageal cancer undergoing esophagectomy have improved, but the prevalence of gastric tube cancer (GTC) has also increased. Total resection of the gastric tube with lymph node dissection is considered a radical treatment, but GTC surgery is more invasive...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7520569/ https://www.ncbi.nlm.nih.gov/pubmed/33024514 http://dx.doi.org/10.4240/wjgs.v12.i9.397 |
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author | Yura, Masahiro Koyanagi, Kazuo Adachi, Kiyohiko Hara, Asuka Hayashi, Keita Tajima, Yuki Kaneko, Yasushi Fujisaki, Hiroto Hirata, Akira Takano, Kiminori Hongo, Kumiko Yo, Kikuo Yoneyama, Kimiyasu Dehari, Reiko Nakagawa, Motohito |
author_facet | Yura, Masahiro Koyanagi, Kazuo Adachi, Kiyohiko Hara, Asuka Hayashi, Keita Tajima, Yuki Kaneko, Yasushi Fujisaki, Hiroto Hirata, Akira Takano, Kiminori Hongo, Kumiko Yo, Kikuo Yoneyama, Kimiyasu Dehari, Reiko Nakagawa, Motohito |
author_sort | Yura, Masahiro |
collection | PubMed |
description | BACKGROUND: Survival rates in patients with esophageal cancer undergoing esophagectomy have improved, but the prevalence of gastric tube cancer (GTC) has also increased. Total resection of the gastric tube with lymph node dissection is considered a radical treatment, but GTC surgery is more invasive and involves a higher risk of severe complications or death, particularly in elderly patients. CASE SUMMARY: We report an elderly patient with early GTC that had invaded the duodenum who was successfully treated with resection of the distal gastric tube and Roux-en-Y (R-Y) reconstruction. The tumor was a type 0-IIc lesion with ulcer scars surrounding the pyloric ring. Endoscopic submucosal resection was not indicated because the primary lesion was submucosally invasive, was undifferentiated type, surrounded the pyloric ring, and had invaded the duodenum. Resection of distal gastric tube with R-Y reconstruction was safely performed, with preservation of the right gastroepiploic artery (RGEA) and right gastric artery (RGA). CONCLUSION: Distal resection of the gastric tube with preservation of the RGEA and RGA is a good treatment option for elderly patients with cT1bN0 GTC in the lower part of the gastric tube. |
format | Online Article Text |
id | pubmed-7520569 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-75205692020-10-05 Distal gastric tube resection with vascular preservation for gastric tube cancer: A case report and review of literature Yura, Masahiro Koyanagi, Kazuo Adachi, Kiyohiko Hara, Asuka Hayashi, Keita Tajima, Yuki Kaneko, Yasushi Fujisaki, Hiroto Hirata, Akira Takano, Kiminori Hongo, Kumiko Yo, Kikuo Yoneyama, Kimiyasu Dehari, Reiko Nakagawa, Motohito World J Gastrointest Surg Case Report BACKGROUND: Survival rates in patients with esophageal cancer undergoing esophagectomy have improved, but the prevalence of gastric tube cancer (GTC) has also increased. Total resection of the gastric tube with lymph node dissection is considered a radical treatment, but GTC surgery is more invasive and involves a higher risk of severe complications or death, particularly in elderly patients. CASE SUMMARY: We report an elderly patient with early GTC that had invaded the duodenum who was successfully treated with resection of the distal gastric tube and Roux-en-Y (R-Y) reconstruction. The tumor was a type 0-IIc lesion with ulcer scars surrounding the pyloric ring. Endoscopic submucosal resection was not indicated because the primary lesion was submucosally invasive, was undifferentiated type, surrounded the pyloric ring, and had invaded the duodenum. Resection of distal gastric tube with R-Y reconstruction was safely performed, with preservation of the right gastroepiploic artery (RGEA) and right gastric artery (RGA). CONCLUSION: Distal resection of the gastric tube with preservation of the RGEA and RGA is a good treatment option for elderly patients with cT1bN0 GTC in the lower part of the gastric tube. Baishideng Publishing Group Inc 2020-09-27 2020-09-27 /pmc/articles/PMC7520569/ /pubmed/33024514 http://dx.doi.org/10.4240/wjgs.v12.i9.397 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Yura, Masahiro Koyanagi, Kazuo Adachi, Kiyohiko Hara, Asuka Hayashi, Keita Tajima, Yuki Kaneko, Yasushi Fujisaki, Hiroto Hirata, Akira Takano, Kiminori Hongo, Kumiko Yo, Kikuo Yoneyama, Kimiyasu Dehari, Reiko Nakagawa, Motohito Distal gastric tube resection with vascular preservation for gastric tube cancer: A case report and review of literature |
title | Distal gastric tube resection with vascular preservation for gastric tube cancer: A case report and review of literature |
title_full | Distal gastric tube resection with vascular preservation for gastric tube cancer: A case report and review of literature |
title_fullStr | Distal gastric tube resection with vascular preservation for gastric tube cancer: A case report and review of literature |
title_full_unstemmed | Distal gastric tube resection with vascular preservation for gastric tube cancer: A case report and review of literature |
title_short | Distal gastric tube resection with vascular preservation for gastric tube cancer: A case report and review of literature |
title_sort | distal gastric tube resection with vascular preservation for gastric tube cancer: a case report and review of literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7520569/ https://www.ncbi.nlm.nih.gov/pubmed/33024514 http://dx.doi.org/10.4240/wjgs.v12.i9.397 |
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