Is gastric tube reconstruction the optimal surgical procedure for Siewert type II esophagogastric junction carcinoma?

Abstract

BACKGROUND/AIM:

To evaluate the potential risk of gastric tube reconstruction for Siewert type II esophagogastric junction carcinoma.

PATIENTS AND METHODS:

We retrospectively analyzed clinicopathological and survival data of 41 patients who had undergone total gastrectomy for Siewert type II carcinoma, focusing on lymph node metastasis around the middle to lower greater curvature or parapyloric area.

RESULTS:

Histological examination showed involvement of at least one lymph node in six patients (14%). Multivariate Cox proportional hazard regression analysis of seven clinicopathological variables showed that lymph node metastasis around the middle to lower greater curvature, or parapyloric area was the only significant independent unfavorable factor (odds ratio=6.62; 95% confidence interval=1.27-41.1; p=0.03) for survival. We identified no significant predictors of lymph node metastasis in analyzed patients.

CONCLUSION:

From an oncological point of view, we do not recommend routine gastric tube reconstruction for Siewert type II carcinoma.

• Authors: Minoru Fukuchi, Erito Mochiki, Okihide Suzuki, Toru Ishiguro, Jun Sobajima, Kana Saito, Hiroshi Naitoh, Youichi Kumagai, Hiroyuki Baba, Keiichiro Ishibashi, Hideyuki Ishida
• Journal: Anticancer research (Anticancer Res) Vol. 34 Issue 2 Pg. 915-9 (Feb 2014) ISSN: 1791-7530 [Electronic] Greece
• PMID: 24511032 (Publication Type: Journal Article)

Topics

• Aged
• Aged, 80 and over
• Esophagogastric Junction (pathology, surgery)
• Female
• Gastrectomy
• Humans
• Lymphatic Metastasis
• Male
• Middle Aged
• Proportional Hazards Models
• Plastic Surgery Procedures
• Retrospective Studies
• Stomach Neoplasms (pathology, surgery)