Avella Diego, Garcia Luis, Hartman Brett, Kimchi Eric, Staveley-O'Carroll Kevin
Penn State University, 500 University Dr., Hershey, PA 17033, USA.
J Gastrointest Surg. 2009 Feb;13(2):368-73. doi: 10.1007/s11605-008-0579-7. Epub 2008 Aug 2.
Over the last several decades, the incidence of gastroesophageal junction tumors has been increasing. Often, patients present late in the course of their disease. However, if the disease is localized, then complete surgical resection remains the standard of cure and the best chance for cure. On occasion, these tumors involve a significant portion of both the distal esophagus and proximal stomach.
In order to completely remove these tumors with an adequate surgical margin and lymph node dissection, a total gastrectomy and total esophagectomy with colonic interposition may be required. We have utilized this approach on six patients with excellent clinical results. In this manuscript, we discuss the technical considerations involved in this approach and present our results.
