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Background To apply the collagen gel droplet embedded culture-drug sensitivity test (CD-DST) technique to individualized tumor response testing (ITRT) in esophageal cancer, optimal exposure conditions that would permit us to predict the clinical response to the low-dose cisplatin (CDDP)/5-fluorouracil (5-FU) regimen and docetaxel (DOC) regimen were determined. Methods CD-DST was performed on 35...
Background Although visceral fat accumulation influences various body systems, its significance as a preoperative risk factor is unknown. This study analyzed the relationship between visceral fat accumulation and postoperative morbidity. Methods The study group consisted of 64 male patients with body mass index (BMI) of 18.5 or more who underwent esophagectomy for esophageal cancer. Clinicopathological,...
Background The Estimation of Physiologic Ability and Surgical Stress (E-PASS) scoring system was designed on the hypothesis that the balance between the patient’s physiological reverse capacity and the surgical stress of operation was important in the development of postoperative complications. The aim of this study was to evaluate whether the E-PASS scoring system could predict the occurrence of...
We report a rare case of leiomyosarcoma of the lower esophagus that was treated by endoscopic resection. A 56-year-old man was referred to our hospital in October 2005 because of mild discomfort around the lower esophagus upon swallowing for 2 months. The esophagogram showed a filling defect at the lower esophagus. It revealed a giant polyp tumor arising from the right wall of the lower esophagus...
A 64-year-old man presented with dysphagia and heartburn. Upper gastrointestinal endoscopy showed an irregular type 2 tumor of the lower esophagus. Histological examination of the biopsy specimen revealed undifferentiated carcinoma, small cell type. Subtotal esophagectomy was performed. Two months after the initial surgery, an intradural extramedullary metastasis was found, and tumorectomy was performed...
A 49-year-old man was referred to our hospital for treatment of an esophagorespiratory fistula following 5-year airway stenting for stenosis of tracheal anastomosis. In consideration of the prior polysurgery and the patient’s poor general status and malnutrition, we selected multistep esophageal bypass combined with feeding enterostomy for nutritional support. Respiratory symptoms and pneumonia were...
This article originally appeared in Japanese as Shokudo gan shindan · chiryo gaidorain (Guidelines for Diagnosis and Treatment of Carcinoma of the Esophagus), published by Kanehara, Tokyo, April 2007.
A 66-year-old male patient visited our hospital with the chief complaints of difficulty in swallowing and vomiting. The upper gastrointestinal radiographic contrast study revealed a diverticulum with a diameter of about 10 cm in the diaphragm to the right of the esophagus. Upper gastrointestinal endoscopy revealed the inlet of the diverticulum on the right wall of the esophagus at a distance of 44–46...
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