Colonic interposition for recurrent Gastroesophageal junction adenocarcinoma of stomach: a case report

Introduction: Gastric cancer is a major cause of cancer death worldwide. Potential curative treatment for gastric cancer is radical gastrectomy. The reasons for local recurrence could be many like inadequate margin at the time of resection, biology of the disease, bad patient compliance. Esophagoga...

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Autores principales:	Sujan Regmee, Shrijan Kharel, Tanka Prasad Bohara, Mukund Raj Joshi
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2020
Materias:	Recurrent adenocarcinoma oesophagus colonic interposition oesophageal resection Surgery RD1-811
Acceso en línea:	https://doaj.org/article/3de023a5c9ea4b5b8ed8f067decb033b
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spelling	oai:doaj.org-article:3de023a5c9ea4b5b8ed8f067decb033b2021-12-05T19:15:36ZColonic interposition for recurrent Gastroesophageal junction adenocarcinoma of stomach: a case report10.3126/jssn.v23i2.358431815-39842392-4772https://doaj.org/article/3de023a5c9ea4b5b8ed8f067decb033b2020-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/35843https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Gastric cancer is a major cause of cancer death worldwide. Potential curative treatment for gastric cancer is radical gastrectomy. The reasons for local recurrence could be many like inadequate margin at the time of resection, biology of the disease, bad patient compliance. Esophagogastrectomy with colonic interposition may be required in case of distal esophageal carcinoma, carcinoma of proximal stomach and also in esophagogastric anastomotic recurrence, especially when the stomach is not suitable or available. Case description: A 30-year-old female, who had undergone proximal partial gastrectomy about 14 months back for poorly differentiated mucinous adenocarcinoma of stomach, was admitted with a 20 days history of dysphagia which was initially for solid food but later progressed causing difficulty in swallowing liquid as well. In past 14 months patient had undergone 6 cycles of chemotherapy. Transhiatal esophagectomy with interposition of right colon with terminal ileum with end to end anastomosis of oesophagus and ileal ends followed by colojejunostomy and ileocolostomy with FJ placement. Conclusion: When enough stomach remains it can be used as an esophageal replacement. However, when the stomach cannot be used due to more extensive primary disease or like in this case, needs to be resected due to recurrence of the disease, the interposed colon or jejunum needs to be used for esophageal reconstruction. Sujan RegmeeShrijan KharelTanka Prasad BoharaMukund Raj JoshiSociety of Surgeons of NepalarticleRecurrent adenocarcinoma oesophaguscolonic interpositionoesophageal resectionSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 23, Iss 2 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Recurrent adenocarcinoma oesophagus colonic interposition oesophageal resection Surgery RD1-811
spellingShingle	Recurrent adenocarcinoma oesophagus colonic interposition oesophageal resection Surgery RD1-811 Sujan Regmee Shrijan Kharel Tanka Prasad Bohara Mukund Raj Joshi Colonic interposition for recurrent Gastroesophageal junction adenocarcinoma of stomach: a case report
description	Introduction: Gastric cancer is a major cause of cancer death worldwide. Potential curative treatment for gastric cancer is radical gastrectomy. The reasons for local recurrence could be many like inadequate margin at the time of resection, biology of the disease, bad patient compliance. Esophagogastrectomy with colonic interposition may be required in case of distal esophageal carcinoma, carcinoma of proximal stomach and also in esophagogastric anastomotic recurrence, especially when the stomach is not suitable or available. Case description: A 30-year-old female, who had undergone proximal partial gastrectomy about 14 months back for poorly differentiated mucinous adenocarcinoma of stomach, was admitted with a 20 days history of dysphagia which was initially for solid food but later progressed causing difficulty in swallowing liquid as well. In past 14 months patient had undergone 6 cycles of chemotherapy. Transhiatal esophagectomy with interposition of right colon with terminal ileum with end to end anastomosis of oesophagus and ileal ends followed by colojejunostomy and ileocolostomy with FJ placement. Conclusion: When enough stomach remains it can be used as an esophageal replacement. However, when the stomach cannot be used due to more extensive primary disease or like in this case, needs to be resected due to recurrence of the disease, the interposed colon or jejunum needs to be used for esophageal reconstruction.
format	article
author	Sujan Regmee Shrijan Kharel Tanka Prasad Bohara Mukund Raj Joshi
author_facet	Sujan Regmee Shrijan Kharel Tanka Prasad Bohara Mukund Raj Joshi
author_sort	Sujan Regmee
title	Colonic interposition for recurrent Gastroesophageal junction adenocarcinoma of stomach: a case report
title_short	Colonic interposition for recurrent Gastroesophageal junction adenocarcinoma of stomach: a case report
title_full	Colonic interposition for recurrent Gastroesophageal junction adenocarcinoma of stomach: a case report
title_fullStr	Colonic interposition for recurrent Gastroesophageal junction adenocarcinoma of stomach: a case report
title_full_unstemmed	Colonic interposition for recurrent Gastroesophageal junction adenocarcinoma of stomach: a case report
title_sort	colonic interposition for recurrent gastroesophageal junction adenocarcinoma of stomach: a case report
publisher	Society of Surgeons of Nepal
publishDate	2020
url	https://doaj.org/article/3de023a5c9ea4b5b8ed8f067decb033b
work_keys_str_mv	AT sujanregmee colonicinterpositionforrecurrentgastroesophagealjunctionadenocarcinomaofstomachacasereport AT shrijankharel colonicinterpositionforrecurrentgastroesophagealjunctionadenocarcinomaofstomachacasereport AT tankaprasadbohara colonicinterpositionforrecurrentgastroesophagealjunctionadenocarcinomaofstomachacasereport AT mukundrajjoshi colonicinterpositionforrecurrentgastroesophagealjunctionadenocarcinomaofstomachacasereport
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Colonic interposition for recurrent Gastroesophageal junction adenocarcinoma of stomach: a case report

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