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Japanese

Surgical Problem of Carcinoma in the Esophagogastric Junction M. Nishi 1 , H. Nomura 1 , T. Kajisa 1 , T. Aiko 1 , Y. Kaneko 1 , T. Kawaji 1 , G. Higashi 1 1The First Department of Surgery, Kagoshima University School of Medicine pp.1497-1507
Published Date 1978/11/25
DOI https://doi.org/10.11477/mf.1403107547
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 Carcinoma in the esophago-gastric junction (EG junction) and in the cardia are defined as a carcinoma located within 1 cm and 2 cm respectively from EG junction.

 Clinical specific feature, problem of preoperative diagnosis, operation method and prognosis have been compared between carcinoma in EG junction and in cardia. Specific features of carcinoma in EG junction are as follows: histologically 15% of cases being squamous cell carcinoma and remaining most of cases showing well differentiated adenocarcinoma; most of early cancer detected preoperatively being protruded type; most of advanced cancer being confined type and frequently seen in aged male. Carcinoma located in the cardia has following features: frequently arising in young female; infiltrative type; histologically undifferentiated type and histology demonstrating invasion to esophagus being more extensive than macroscopic finding.

 If preoperative diagnosis indicating esophageal invasion in those carcinomas is more than 2 cm, open chest surgery is required for curative resection, complete lymph node dissection and anastomosis. Line of esophageal transection should be 2 cm oral from tumor in confined type and 4 cm in infiltrative type in order to prevent recurrence. In our department reconstruction of the GI tract has been performed according to double tract N anastomosis. Prognosis after the operation is better in cardiac carcinoma than in carcinoma in the upper portion of the stomach.


Copyright © 1978, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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