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Esophageal carcinoma simultaneously associated with gastric carcinoma: Analysis of clinicopathologic features and treatments
Author(s) -
Kato Hoichi,
Tachimori Yuji,
Watanabe Hiroshi,
Mizobouchi Shunji,
Igaki Hiroyasu,
Yamaguchi Hajime,
Ochiai Atsushi
Publication year - 1994
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930560216
Subject(s) - medicine , esophagectomy , carcinoma , gastrectomy , gastroenterology , cancer , anastomosis , esophageal cancer , esophagus , gastric carcinoma , surgery , general surgery
Among 1,420 patients with throacic esophageal carcinoma, 85 (6.1%) had synchronous gastric carcinoma. Seventy‐two patients (84.7%) underwent esophagectomy. Their operative mortality and prognosis were similar to those without gastric carcinoma. Among them, 25 patients, of whom the majority had advanced gastric carcinoma, underwent transthoracic esophagectomy with total gastrectomy (group A); eight died of esophageal cancer and four of gastric cancer. Forty‐six patients, of whom the majority had gastric carcinoma in an early stage, underwent esophagectomy and esophagogastric anastomosis following partial gastrectomy or local treatment for gastric carcinoma (group B). None of the group B patients had recurrent gastric carcinoma. The operative burden was larger in group A. The 5‐year survival rate for groups A and B were 38.8% and 23.0%, respectively. Esophagectomy and esophagogastric anastomosis after limited treatment for gastric carcinoma is an adequate treatment for the majority. However, esophagectomy and total gastrectomy are recommended for patients with advanced gastric carcinoma. © 1994 Wiley‐Liss, Inc.