title: Satisfactory long-term results after simultaneous resection of the esophagus, stomach and pancreas.
abstract: OBJECTIVE
  Surgical procedures for esophageal cancer and chronic pancreatitis are demanding and still characterized by high morbidity and mortality. Cases of one-stage combined operations on the pancreas and esophagus with a long-term follow-up are rarely reported.
  
  
  METHODS
  We present the case of a 54-year-old woman with a Barrett's carcinoma and an 8-year history of severe chronic pancreatitis complicated with multiple episodes of cholangitis and resistant to conservative treatment.
  
  
  RESULTS
  After a successful one-stage operation consisting of esophagogastrectomy and pancreaticoduodenectomy, a 30-month disease-free follow-up with a good quality of life has been observed.
  
  
  CONCLUSIONS
  Complicated surgical procedures such as one-stage multiple organ resections may offer, in selected cases, satisfactory long-term results, provided that patients are treated at a high-volume center by a multidisciplinary team.
authors.affiliation: Department of General Surgery, St Josef Hospital, Ruhr University Bochum, Bochum, Germany.
authors.forename: Orlin
authors.initials: O
authors.lastname: Belyaev
authors.forename: Christophe A
authors.initials: CA
authors.lastname: Muller
authors.forename: Waldemar
authors.initials: W
authors.lastname: Uhl
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000714:Anastomosis, Surgical; D001062:Appendectomy; D001471:Barrett Esophagus / Q000601:surgery*; D002761:Cholangitis / Q000601:surgery*; D002763:Cholecystectomy; D044683:Colon, Descending / Q000601:surgery; D003131:Combined Modality Therapy; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D016577:Pancreaticoduodenectomy; D050500:Pancreatitis, Chronic / Q000601:surgery*; D011788:Quality of Life