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Antrum preserving double tract reconstruction following proximal gastrectomy for Siewert type III early adenocarcinoma of the oesophagogastric junction (AEG) — case report
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Abstract
Proximal gastrectomy is hardly ever used, nevertheless it can be recommended for early lesions of the upper-third of the stomach. In cases when endoscopic treatment is impossible or the criteria for radical endoscopic therapy are not fulfilled, the patient should receive surgery. There are methods available for digestive tract reconstruction but none are likely to provide a favourable outcome. However, the antrum preserving double tract method is a reasonable approach since it can maintain a smooth transfer of bulky foodstuffs through the duodenal route. We report an application of this method in the treatment of early AEG cancer.
Abstract
Proximal gastrectomy is hardly ever used, nevertheless it can be recommended for early lesions of the upper-third of the stomach. In cases when endoscopic treatment is impossible or the criteria for radical endoscopic therapy are not fulfilled, the patient should receive surgery. There are methods available for digestive tract reconstruction but none are likely to provide a favourable outcome. However, the antrum preserving double tract method is a reasonable approach since it can maintain a smooth transfer of bulky foodstuffs through the duodenal route. We report an application of this method in the treatment of early AEG cancer.
Keywords
early gastric cancer, proximal gastrectomy, double tract reconstruction
Title
Antrum preserving double tract reconstruction following proximal gastrectomy for Siewert type III early adenocarcinoma of the oesophagogastric junction (AEG) — case report
Journal
Nowotwory. Journal of Oncology
Issue
Article type
Case report
Pages
212-215
Published online
2016-07-12
Page views
960
Article views/downloads
3810
DOI
Bibliographic record
Nowotwory. Journal of Oncology 2016;66(3):212-215.
Keywords
early gastric cancer
proximal gastrectomy
double tract reconstruction
Authors
Grzegorz Celban
Paweł Pius
Piotr Januszewski