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Left brachiocephalic vein injury has not yet been reported during reconstruction after esophagectomy. A 58-year-old male patient was diagnosed with cervical esophageal squamous cell carcinoma and subsequently underwent subtotal esophagectomy followed by neo-adjuvant chemotherapy. The left brachiocephalic vein was accidentally injured when making a retrosternal space. The brachiocephalic vein was ligated...
Here, we report on an anomaly of the right pulmonary vein in the subcarinal area and emphasis the importance of its focus in subcarinal lymph node dissection. A 51-year-old Japanese man underwent thoracoscopic radical esophagectomy with regional lymph node dissection for esophageal carcinoma T1bN1M0, stage IIB. While dissecting the subcarinal lymph node, we encountered a thick vein crossing posterior...
A 64-year-old man underwent radical esophagectomy for cancer and simultaneous reconstruction using the gastric conduit through the posterior mediastinum. Two courses of adjuvant chemotherapy were performed. Twenty-eight months postoperatively, recurrence of the cancer was detected in the mediastinal lymph nodes, and he underwent concurrent chemoradiotherapy and boost chemotherapy. Endoscopy was then...
Background This study aimed to evaluate risk factors for resistance to proton-pump inhibitor (PPI) therapy among patients with reflux esophagitis (RE) and nonerosive reflux disease (NERD) in gastroesophageal reflux disease (GERD) using a standardized questionnaire in Japan: the Frequency Scale for the Symptoms of Gastroesophageal Reflux Disease (FSSG). Methods One hundred fifty-eight patients who...
Background Combined chemotherapy with cisplatin, 5-fluorouracil, and docetaxel (DCF) is a promising regimen for the treatment of esophageal squamous cell carcinoma (ESCC). However, careful attention must be paid to severe neutropenia. Methods A total of 17 patients with ESCC who received DCF therapy (docetaxel 75 mg/m2 on day 1, cisplatin 75 mg/m2 on day 1, and 5-fluorouracil 750 mg/m2 on days 1–5)...
Background Non-erosive gastroesophageal reflux disease (NERD) is the most common form of gastroesophageal reflux disease (GERD). The aim of this study is to evaluate efficacy of laparoscopic Toupet fundoplication for NERD by combined multichannel intraluminal impedance–pH (MII–pH) monitoring. Methods Twenty-eight patients who underwent laparoscopic Toupet fundoplication for NERD had MII–pH monitoring...
Colonic metastasis of esophageal squamous cell carcinoma (SCC) is extremely rare. A 77-year-old male patient was diagnosed with primary middle thoracic esophageal carcinoma and subsequently underwent subtotal esophagectomy. The pathological TNM classification was SCC of the esophagus, T3N1M0 stage IIIA. Twenty months later, he underwent emergency surgery due to acute abdomen. Exploratory laparotomy...
A 56-year-old man was referred to our hospital because of the detection of esophageal adenocarcinoma at a local hospital. Endoscopy showed an elevated lesion in the lower esophagus. We diagnosed this lesion as early esophageal carcinoma and performed video-assisted distal esophagectomy. On microscopic examination, a 6.0-cm irregular elevated lesion with a cavity lesion was identified at the lower...
Introduction The purpose of this study was to establish the clinicopathological significance of circulating tumor cells (CTCs) in patients with advanced or recurrent esophageal cancer who received either chemotherapy or chemoradiotherapy. Methods CTCs from 38 patients with advanced or recurrent esophageal cancer were quantified using the CellSearch system before and approximately 3–5 weeks after...
Background Gastroesophageal reflux disease (GERD) is a cause of dysphagia. Our aim in this investigation was to evaluate the duration of the oral and pharyngeal transit in patients with GERD, with the hypothesis that these patients may have an alteration of oral–pharyngeal transit. Method The swallow of 31 patients with GERD, 27 with erosive esophagitis, 15 with mild dysphagia for solid foods, and...
Thoracic duct injury leads to “chylothorax”. We found a close relationship of topographical anatomy between right bronchial artery and thoracic duct from esophageal cancer operations. We retrospectively analyzed topographical anatomy of right bronchial artery and location of thoracic duct in 124 cases operated in 2012. Of 124 cases, we recognized 8 cases of anomalous right bronchial artery. In these...
A 60-year-old man diagnosed with esophageal cancer of the lower thoracic esophagus was referred for curative operation. Thoracoscopic esophagectomy with two-field lymph node dissection was performed without neoadjuvant therapy. Histopathological findings revealed three different components of carcinoma in the same tumor specimen: basaloid, adenocarcinomatous and squamous components. These different...
Aortogastric fistula is a rare and lethal complication after esophagectomy. We report a case of an aortogastric fistula due to a peptic ulcer after esophagectomy for esophageal carcinoma, in which treatment with surgery and endovascular stent graft repair was successful. A 67-year-old woman underwent esophagectomy for esophageal carcinoma and reconstruction with a gastric tube through the posterior...
We herein present the case of a 44-year-old male who was successfully treated with pharyngo-laryngo-esophagectomy for severe corrosive esophagitis associated with pharyngitis. He accidentally ingested an unidentified liquid and subsequently developed esophagitis and progressive pharyngolaryngitis. Since he also developed dyspnea, he initially underwent a tracheotomy at an emergency hospital. Afterward,...
A 63-year-old man presented with a protruded tumor in the middle thoracic esophagus demonstrated by endoscopy. The tumor showed diffuse submucosal infiltrations, and the biopsy yielded a pathological diagnosis of adenocarcinoma. As an initial treatment, definitive chemoradiotherapy was performed. Although subsequent evaluations by endoscopy showed a good response, the lesion presented stenotic change...
Granular cell tumors (GCTs) are uncommon, mostly benign lesions. The malignant form and involvement of the cervical esophagus are rare. A 53-year-old female was referred to our hospital for treatment of a malignant cervical esophageal GCT. We performed a pharyngolaryngeal esophagectomy, total thyroidectomy and selective bilateral neck lymph node dissection. Histopathology revealed a malignant GCT...
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