Open AccessPalliative cardia resection with gastroesophageal reconstruction for perforated carcinoma of the gastroesophageal junction
Author(s) -
Sonja Gillen,
Helmut Frieß,
Jörg Kleeff
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.3065
Subject(s) - medicine , perforation , gastroesophageal junction , surgery , adenocarcinoma , complication , esophageal cancer , carcinoma , palliative care , cancer , materials science , nursing , punching , metallurgy
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 adenocarcinoma 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.