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Dellaportas D, Gossage JA, Davies AR. Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle. Case Rep Surg. 2016;2016:5650382doi: 10.1155/2016/5650382.
Dellaportas, D., Gossage, J. A., & Davies, A. R. (2016). Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle. Case reports in surgery, 20165650382. https://doi.org/10.1155/2016/5650382
Dellaportas, Dionysios, et al. "Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle." Case reports in surgery vol. 2016 (2016): 5650382. doi: https://doi.org/10.1155/2016/5650382
Dellaportas D, Gossage JA, Davies AR. Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle. Case Rep Surg. 2016;2016:5650382. doi: 10.1155/2016/5650382. Epub 2016 Aug 18. PMID: 27635275; PMCID: PMC5007305.
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Case Rep Surg. 2016;2016:5650382. doi: 10.1155/2016/5650382. Epub 2016 Aug 18.

Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle.

Case reports in surgery

Dionysios Dellaportas, James A Gossage, Andrew R Davies

Affiliations

  1. Department of Oesophagogastric Surgery, St Thomas' Hospital, King's College London, London, UK.

PMID: 27635275 PMCID: PMC5007305 DOI: 10.1155/2016/5650382

Abstract

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.

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