Satisfactory long-term results after simultaneous resection of the esophagus, stomach and pancreas.
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.
Belyaev
Orlin
O
Department of General Surgery, St Josef Hospital, Ruhr University Bochum, Bochum, Germany.
Muller
Christophe A
CA
Uhl
Waldemar
W
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