title: Management of synchronous tumours of the oesophagus and pancreatic head: a novel approach.
abstract: Synchronous tumours of the oesophagus and pancreatic head are very rare. This report describes a unique case of an adenocarcinoma of the distal oesophagus and a neuroendocrine tumour of the pancreatic head diagnosed synchronously but successfully managed metachronously. Initially, the patient underwent an oesophagectomy, with a colonic reconstruction following some months later by pylorus-preserving pancreaticoduodenectomy. A staged resection was performed after a review of the literature suggested increased morbidity with synchronous major abdominal operations.
authors.affiliation: Upper Gastrointestinal and Hepatobiliary Unit, St Vincent's Hospital, Melbourne, Australia. davidgyorki@gmail.com
authors.forename: D E
authors.initials: DE
authors.lastname: Gyorki
authors.forename: N E
authors.initials: NE
authors.lastname: Clarke
authors.forename: M W
authors.initials: MW
authors.lastname: Hii
authors.forename: S W
authors.initials: SW
authors.lastname: Banting
authors.forename: R J
authors.initials: RJ
authors.lastname: Cade
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*