Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle
Introduction. With the improving survival of cancer patients, the development of a secondary primary cancer is an increasingly common phenomenon. Extensive surgery during initial treatment may pose significant challenges to surgeons managing the second primary cancer. Case Presentation. A 69-year-ol...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/5650382 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832561434811170816 |
|---|---|
| author | Dionysios Dellaportas James A. Gossage Andrew R. Davies |
| author_facet | Dionysios Dellaportas James A. Gossage Andrew R. Davies |
| author_sort | Dionysios Dellaportas |
| collection | DOAJ |
| description | Introduction. With the improving survival of cancer patients, the development of a secondary primary cancer is an increasingly common phenomenon. Extensive surgery during initial treatment may pose significant challenges to surgeons managing the second primary cancer. Case Presentation. A 69-year-old male, who had a pancreaticoduodenectomy three years ago for pancreatic head adenocarcinoma, underwent an uneventful extended total gastrectomy for gastroesophageal junctional adenocarcinoma. The reconstruction controversies and considerations are highlighted. Discussion. Genetic, environmental, and lifestyle factors are common for several gastrointestinal malignancies. However, the occurrence of a second unfavorable cancer such as gastroesophageal adenocarcinoma after pancreatic head cancer treatment is extremely uncommon. This clinical scenario possesses numerous difficulties for the surgeon, since surgical resection is the mainstay of treatment for both malignancies. Gastrointestinal reconstruction becomes challenging and requires careful planning and meticulous surgical technique along with sound intraoperative judgement. |
| format | Article |
| id | doaj-art-7170da7fafd74a3eb003f11f38844c8d |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-7170da7fafd74a3eb003f11f38844c8d2025-02-03T01:25:03ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/56503825650382Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical PuzzleDionysios Dellaportas0James A. Gossage1Andrew R. Davies2Department of Oesophagogastric Surgery, St Thomas’ Hospital, King’s College London, London, UKDepartment of Oesophagogastric Surgery, St Thomas’ Hospital, King’s College London, London, UKDepartment of Oesophagogastric Surgery, St Thomas’ Hospital, King’s College London, London, UKIntroduction. With the improving survival of cancer patients, the development of a secondary primary cancer is an increasingly common phenomenon. Extensive surgery during initial treatment may pose significant challenges to surgeons managing the second primary cancer. Case Presentation. A 69-year-old male, who had a pancreaticoduodenectomy three years ago for pancreatic head adenocarcinoma, underwent an uneventful extended total gastrectomy for gastroesophageal junctional adenocarcinoma. The reconstruction controversies and considerations are highlighted. Discussion. Genetic, environmental, and lifestyle factors are common for several gastrointestinal malignancies. However, the occurrence of a second unfavorable cancer such as gastroesophageal adenocarcinoma after pancreatic head cancer treatment is extremely uncommon. This clinical scenario possesses numerous difficulties for the surgeon, since surgical resection is the mainstay of treatment for both malignancies. Gastrointestinal reconstruction becomes challenging and requires careful planning and meticulous surgical technique along with sound intraoperative judgement.http://dx.doi.org/10.1155/2016/5650382 |
| spellingShingle | Dionysios Dellaportas James A. Gossage Andrew R. Davies Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle Case Reports in Surgery |
| title | Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle |
| title_full | Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle |
| title_fullStr | Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle |
| title_full_unstemmed | Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle |
| title_short | Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle |
| title_sort | management and reconstruction of a gastroesophageal junction adenocarcinoma patient three years after pancreaticoduodenectomy a surgical puzzle |
| url | http://dx.doi.org/10.1155/2016/5650382 |
| work_keys_str_mv | AT dionysiosdellaportas managementandreconstructionofagastroesophagealjunctionadenocarcinomapatientthreeyearsafterpancreaticoduodenectomyasurgicalpuzzle AT jamesagossage managementandreconstructionofagastroesophagealjunctionadenocarcinomapatientthreeyearsafterpancreaticoduodenectomyasurgicalpuzzle AT andrewrdavies managementandreconstructionofagastroesophagealjunctionadenocarcinomapatientthreeyearsafterpancreaticoduodenectomyasurgicalpuzzle |