[New S3 guideline for esophageal cancer : Important surgical aspects].

Abstract

The current German S3 guideline represents the recommendations for the diagnosis and therapy of squamous cell carcinomas and adenocarcinomas of the esophagus based on evidence from the literature and interdisciplinary expert consensus. Esophagogastroscopy with biopsy, endosonography, and spiral CT scan of the neck, thorax, and abdomen are decisive in staging and the choice of therapy. For a curative approach, surgery, especially transthoracic esophagectomy and gastric pull-up, is the most important therapeutic option, except in the case of mucosal carcinomas or cervical squamous cell carcinomas. The significance of total minimally invasive esophageal resection or a hybrid technique is still uncertain. In category cT3 or resectable cT4 tumors, neoadjuvant radiochemotherapy should be performed in squamous cell carcinomas or adenocarcinomas. Alternatively, perioperative chemotherapy can be carried out in adenocarcinoma. Palliative resections should be avoided and replaced by interventional procedures for palliation.

• Authors: A H Hölscher, M Stahl, H Messmann, M Stuschke, H J Meyer, R Porschen
• Journal: Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen (Chirurg) Vol. 87 Issue 10 Pg. 865-72 (Oct 2016) ISSN: 1433-0385 [Electronic] Germany
• Vernacular Title: Die neue S3-Leitlinie zum Ösophaguskarzinom : Wichtige chirurgische Aspekte.
• PMID: 27406251 (Publication Type: Journal Article)

Topics

• Adenocarcinoma (diagnosis, pathology, therapy)
• Carcinoma, Squamous Cell (diagnosis, pathology, therapy)
• Chemotherapy, Adjuvant
• Consensus
• Diagnostic Imaging (methods)
• Endoscopy, Digestive System
• Endosonography
• Esophageal Neoplasms (diagnosis, pathology, therapy)
• Esophagectomy (methods)
• Evidence-Based Medicine
• Guideline Adherence
• Humans
• Lymph Node Excision (methods)
• Minimally Invasive Surgical Procedures (methods)
• Neoplasm Staging
• Palliative Care (methods)