The Infona portal uses cookies, i.e. strings of text saved by a browser on the user's device. The portal can access those files and use them to remember the user's data, such as their chosen settings (screen view, interface language, etc.), or their login data. By using the Infona portal the user accepts automatic saving and using this information for portal operation purposes. More information on the subject can be found in the Privacy Policy and Terms of Service. By closing this window the user confirms that they have read the information on cookie usage, and they accept the privacy policy and the way cookies are used by the portal. You can change the cookie settings in your browser.
Investigations over the past three decades have resulted in multimodality therapy as the standard of care today for the management of stage II and III esophageal cancer in the United States. During this same time period, there has been a shift in the dominant histology and primary location from squamous cell cancer of the midesophagus to adenocarcinoma of the distal esophagus and gastro-esophageal...
Background This study was designed to conduct a retrospective analysis of late toxicity following chemoradiotherapy (CRT) for esophageal carcinoma. Methods The 49 first-onset esophageal carcinoma cases who allowed evaluation of late toxicity were the subjects. The incidence, severity, and background factors were analyzed for late toxicity (pneumonitis, pleural effusion, pericardial effusion). Performance...
In this report, we describe our traction suture technique of the pericardium for suspension of the heart without hemodynamic instability to obtain excellent exposure in the abdominal-transhiatal approach (TH). Our technique is an application of deep pericardium stitches for off-pump coronary artery bypass surgery. In detail, the left hepatic lobe is detached at its triangular ligament from the diaphragm...
A 58-year-old woman was admitted to our hospital with the complaint of dysphagia that had developed 37 months after initiation of treatment for breast cancer. Endoscopy revealed severe stenosis 32 cm from the incisors through which the endoscope could not pass. No mucosal irregularities were observed, and biopsies of the stenotic lesion were negative for malignancy. Computed tomography showed wall...
We report a case of esophagectomy after a primary esophageal gastrointestinal stromal tumor (GIST) was preoperatively treated with imatinib mesylate. A 71-year-old woman was diagnosed with an esophageal submucosal tumor by upper gastrointestinal endoscopy at her health checkup. The tumor was located at the lower thoracic esophagus immediately above the esophagogastric junction and measured 4.5 cm...
Background The surgical treatment of esophageal cancer affects both the physical and psychological condition of the patients, and it is often associated with severe complications after the operation. Education concerning potential postoperative conditions during the early preoperative period might reduce anxiety associated with the operation and allow patients to manage their situation preoperatively...
Background Although the feasibility and advantages of video-assisted thoracoscopic esophagectomy (VATS-E) for esophageal cancer are well studied, its application is limited, possibly because it is technically complex. Methods Ninety-eight patients who underwent VATS-E at our institutes were divided into three groups by the type of thoracoscope, TV monitor, and patient position used. For the first...
These data were first issued on 1 March, 2010, as the Comprehensive Registry of Esophageal Cancer in Japan, 2002. Not all pages are reprinted here; however, the original table and figure numbers have been kept. The authors were at the time members of the Registration Committee for Esophageal Cancer, the Japan Esophageal Society, and made great contributions in preparing this material.
Background Assessment of the outcomes of laparoscopic fundoplication in elderly patients with gastroesophageal reflux disease (GERD) is insufficient. Methods Of the 256 patients with GERD who underwent surgery between December 1994 and December 2008, sufficient postoperative follow-up was completed in 205 patients. Of the 205 patients who were included in the study, 166 were younger than 70 years...
Background No standardized methods exist for the follow-up and treatment of recurrence after a curative esophagectomy for patients with thoracic esophageal cancers. Methods One hundred seventy-five patients with thoracic esophageal cancer underwent a curative resection and were followed up during a median period of 3.0 years (3 months-18 years). The time to recurrence, the first indicators (FIs)...
Totally intrathoracic gastric volvulus is an uncommon presentation of hiatus hernia. We report herein two patients of hiatus hernia repair with mesenteroaxial gastric volvulus who presented as so-called upside-down stomach, which resulted in excellent clinical outcomes. The two patients underwent an attempted laparoscopic floppy Nissen fundoplication. In patient 1, the duodenum severely adhered to...
Aim This study investigated the present status of patients with recurrent and residual disease after an esophagectomy, and examined the ideal clinical course and method for patients with recurrent or residual esophageal cancer. Patients and methods Seventy-five patients who developed recurrence between April 2005 and May 2009, and 14 patients who showed macroscopic residual tumors following tumor...
Esophageal carcinosarcoma is a rare neoplasm. Esophagectomy with lymph node dissection has often been performed, although the efficacy of chemotherapy or radiotherapy is not yet confirmed. Four cases of esophageal carcinosarcoma who underwent chemoradiotherapy are presented. Complete response of the primary tumor was observed in one case; tumor size decreased in three cases. Two patients have been...
Background Endoscopic mucosal resection (EMR) for early esophageal cancer has become popular. Recently, endoscopic submucosal dissection (ESD) has been used to excise widespread lesions en bloc. However, the time required for the ulcer to heal has not been clarified. Therefore, we investigated the healing time of ulcers that were formed after EMR/ESD. Methods Twenty-one patients with primary early...
Background Oral care, respiratory physiotherapy, and rehabilitation for swallowing disorders are thought to be useful preventative measures for postoperative pneumonia in major surgeries. Despite these measures, postoperative pneumonia after an esophagectomy remains frequent and severe. However, few reports have documented the pathogens associated with postoperative pneumonia following surgery for...
We report a case of a 72-year-old woman with an esophageal gastrointestinal stromal tumor (GIST) with regional lymph node metastasis. Endoscopy and barium esophagography revealed a large submucosal tumor in the lower esophagus. Computed tomography showed a solid 8-cm tumor, suggesting an esophageal mesenchymal tumor. Endoscopic ultrasonography-guided fine-needle aspiration biopsy was positive for...
Lymph node metastasis of an esophageal cancer behind the thoracic descending aorta in the left pleural cavity is a rare form of tumor spreading that has not been reported in the English literature, to our knowledge. We report three patients who had this form of lymph node metastasis. Preoperative computed tomography (CT) scans of the chest could detect this disease. A left thoracotomy or approach...
Background Docetaxel is a powerful anticancer agent for esophageal cancer. Preoperative combined chemotherapy with weekly docetaxel plus low-dose cisplatin and 5-fluorouracil (DFP) followed by surgery is expected to improve the survival of patients with resectable esophageal squamous cell carcinoma. Methods Clinical stage II/III squamous cell carcinoma patients who received DFP followed by esophagectomy...
Set the date range to filter the displayed results. You can set a starting date, ending date or both. You can enter the dates manually or choose them from the calendar.