Surgical management of malignant tumors of the esophagogastric junction: a retrospective review of 188 patients.
A series of 188 patients with cancer of the esophagogastric junction were operated from 1960 to 1985. Their age range was 18-79 years old and 73% were males. Mean duration of symptomatology was five months and 93% were affected by dysphagia. Surgery was limited to exploratory laparotomy in 17 patients (9%), feeding gastrostomy in 14 (7.5%), Celestin endoluminal tube in 31 (16.5%), jejunal by-pass in one and tumoral resection in 125 (66.5%). The predominant procedures of resection were total (64%) and proximal gastrectomy (28%). To restore digestive continuity, the stomach was used in 40 (32%) cases, jejunum in 67 (53.6%) and colon in 18 (14.4%). Eighty-eight per cent of tumors were adenocarcinomas. Seventeen per cent of patients died in the post-operative period: 18.4% following resection (17.5% following partial gastrectomy and 18.8% following total gastrectomy) and 14% following palliative measures. Five-year survival rates were 11.8% for resected cases, 8.7% for total gastrectomized patients and 18.2% for partial gastrectomized tumors.
Tamames
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Department of Surgery, Complutense University, San Carlos University Hospital, Madrid, Spain.
De Vega
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DS
Tamames
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D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D000328:Adult; D000368:Aged; D004938:Esophageal Neoplasms / Q000401:mortality / Q000601:surgery*; D004943:Esophagogastric Junction / Q000473:pathology / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011178:Postgastrectomy Syndromes / Q000401:mortality*; D011183:Postoperative Complications / Q000401:mortality*; D011379:Prognosis