MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Esophagus' source. Wed, 08 Feb 2012 16:28:15 +0100 http://www.medworm.com/index.php?rid=5667890&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg1022655lx234124%2F We describe a rare case of metachronous endotracheal metastasis originating from esophageal basaloid squamous carcinoma. A 72-year-old Japanese man underwent esophagectomy for stage I esophageal cancer. Pathological diagnosis of the resected specimen was basaloid squamous carcinoma. One year later, a follow-up computed tomography scan displayed a tumor shadow in the tracheal wall. Bronchoscopy revealed a protruding tumor in the tracheal wall, and the pathologic diagnosis of the biopsy specimen was also basaloid squamous carcinoma. According to the diagnosis of metachronous endobronchial metastasis from esophageal basaloid squamous carcinoma, we treated the patient with chemotherapy comprising docetaxel, cisplatin, and 5-fluorouracil followed by chemoradiotherapy, and complete respons... Esophagus journals http://www.medworm.com/rss/comments.php?id=5667890 Thu, 02 Feb 2012 18:15:46 +0100 5667890 http://www.medworm.com/index.php?rid=5660527&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn1lp57626768177x%2F Abstract  Massive bleeding from large vessels is a serious and life-threatening complication after radical esophagectomy. Here, we present the rare case of patient survival following two episodes of massive bleeding from a tracheo-brachiocephalic artery fistula after salvage surgery for cervical esophageal cancer following definitive chemoradiation. During the first episode of bleeding, the damaged part of the brachiocephalic artery was transected with an extra-anatomical arterial bypass (right femoro-axillo artery bypass graft) to maintain the arterial blood flow to the brain and the free jejunal graft. During the second bleeding, the distal stump of the brachiocephalic artery was reclosed. During both episodes of bleeding, the musculocutaneous flap was effectively employe... Esophagus journals http://www.medworm.com/rss/comments.php?id=5660527 Tue, 31 Jan 2012 07:07:17 +0100 5660527 http://www.medworm.com/index.php?rid=5639023&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw1261808335281h5%2F Conclusions  Early distant recurrences of esophageal cancer frequently occurred even after curative surgery. The number of pathological lymph node metastases (three or more) was the independent risk factor for early recurrence in patients with esophageal cancer after curative resection. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s10388-011-0308-2Authors Hiroki Shimizu, Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachihirokoji, Kamigyo-ku, Kyoto, 602-8566 JapanAtsushi Shiozaki, Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachihirokoji, Kamigyo-ku, Kyoto, 602-8566 JapanHitoshi Fujiwara, Division... Esophagus journals http://www.medworm.com/rss/comments.php?id=5639023 Tue, 24 Jan 2012 07:21:13 +0100 5639023 http://www.medworm.com/index.php?rid=5583188&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9855218kt8p216r4%2F Abstract  Esophageal bronchogenic cysts are rare bronchopulmonary foregut malformations, and those located in the abdominal cavity are particularly rare. Esophageal cysts are typically found incidentally; an exact preoperative diagnosis of bronchogenic cyst is difficult, and surgical resection is generally recommended. Here, we report a case in which a subdiaphragmatic bronchogenic cyst of the esophagus coexisted with advanced gastric cancer. A 44-year-old man was referred for the treatment of gastric cancer. A preoperative examination revealed a mass on the right side of the esophagogastric junction that was preoperatively diagnosed as a metastatic lymph node. Intraoperative exploration revealed that the mass had protruded from the abdominal esophageal wall, and was diagno... Esophagus journals http://www.medworm.com/rss/comments.php?id=5583188 Tue, 10 Jan 2012 17:00:52 +0100 5583188 http://www.medworm.com/index.php?rid=5572751&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu1515209440l5h30%2F Abstract  We encountered a case of esophageal mucocele with progressive respiratory symptoms which originated from an excluded thoracic esophagus that was closed at both the proximal and distal ends, and which occurred 24 years after esophageal bypass surgery for a spontaneous esophageal rupture. The patient was a 64-year-old male who was treated by a temporary external drainage for relief of his symptoms without subsequent complete resection of the mucocele via thoracotomy, because of the high surgical risks associated with such a procedure. Four-hundred and fifty milliliters of waste removed during the initial external drainage showed no signs of inflammation or malignancy, suggesting that the reason this excluded esophagus was a symptomatic mucocele was not the obse... Esophagus journals http://www.medworm.com/rss/comments.php?id=5572751 Fri, 06 Jan 2012 16:47:36 +0100 5572751 http://www.medworm.com/index.php?rid=5561014&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa9mm706754027673%2F Abstract  Although posterior mediastinal lymph node metastases are often observed in patients with esophageal cancer, their complete resection via a right thoracic approach is difficult and carries a risk of complications. We have developed a novel procedure for en-bloc dissection of the posterior mediastinal lymph nodes using the pneumomediastinum method. The patient was a 48-year-old female with middle thoracic esophageal cancer. A computed tomography scan showed a posterior mediastinal lymph node 1 cm in diameter. After division of the gastrosplenic ligament by hand-assisted laparoscopic surgery, the esophageal hiatus was opened, and carbon dioxide was introduced into the mediastinum. The anterior and left sides of the distal esophagus were separated, and a swollen ... Esophagus journals http://www.medworm.com/rss/comments.php?id=5561014 Sat, 31 Dec 2011 16:49:15 +0100 5561014 http://www.medworm.com/index.php?rid=5515929&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb841544474573512%2F Conclusions  This study suggests that p63 and p53 are coordinately upregulated in esophageal squamous carcinogenesis, and assessment of their expression might provide a useful adjunct tool for differential diagnosis of ESIN. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s10388-011-0302-8Authors Hidenae Nakayama, Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, JapanHiroyuki Mitomi, Department of Human Pathology, Juntendo University School of Medicine, Motomachi building 3F, Hongo 1-1-19, Bunkyo-ku, Tokyo, 113-0033 JapanAbdukadir Imamhasan, Department of Human Pathology, Juntendo University School of Medicine, Motomachi building 3F, Hongo 1-1-19, Bunkyo-ku, Tokyo, 113-0033 JapanShiro Uchida, Department of Human ... Esophagus journals http://www.medworm.com/rss/comments.php?id=5515929 Tue, 13 Dec 2011 17:05:39 +0100 5515929 http://www.medworm.com/index.php?rid=5477251&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft7381j4521083611%2F Content Type Journal ArticleCategory Congress Report: SummariesPages 1-5DOI 10.1007/s10388-011-0301-9 Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=5477251 Fri, 02 Dec 2011 18:07:59 +0100 5477251 http://www.medworm.com/index.php?rid=5477252&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj24g02331l4817v0%2F Abstract  Primary malignant melanoma of the esophagus is a rare disease. The majority of patients are diagnosed at an advanced stage, and only a few are detected at an early stage. We herein describe a case of early-stage primary malignant melanoma of the esophagus that was detected simultaneously with early-stage primary esophageal squamous cell carcinoma. Both tumors were detected during esophagogastroduodenoscopy for heartburn. The malignant melanoma tumor was a nevus-like flat-type lesion in the upper thoracic esophagus, and the squamous cell carcinoma was a slightly depressed lesion in the abdominal esophagus. The tumor was resected by thoracoscopic esophagectomy. Histologically, the invasion of both tumors was limited to the mucosal layer, and no lymph node metastasis... Esophagus journals http://www.medworm.com/rss/comments.php?id=5477252 Fri, 02 Dec 2011 18:07:58 +0100 5477252 http://www.medworm.com/index.php?rid=5450007&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa5415k8538j83w7m%2F Abstract  Eosinophilic esophagitis (EoE) is rarely diagnosed condition involving eosinophilic infiltration of the esophageal mucosa. EoE in adults has been increasingly recognized and actively investigated in Western countries, but few cases have been reported in Asian populations. Herein, we report two Japanese cases of esophageal eosinophilia detected by routine medical examination. One patient had heartburn, and endoscopy of the esophagus showed whitish elevated lesions resembling papillomas and persistent concentric rings. Esophageal biopsies confirmed esophageal eosinophilia and EoE was diagnosed. The patient’s condition improved with proton pump inhibitor treatment followed by topical steroid therapy. The other patient was asymptomatic, but endoscopy revealed white ... Esophagus journals http://www.medworm.com/rss/comments.php?id=5450007 Wed, 23 Nov 2011 17:38:04 +0100 5450007 http://www.medworm.com/index.php?rid=5441832&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F73772387703m978h%2F Abstract  A 56-year-old man was diagnosed with esophageal cancer by upper gastrointestinal endoscopy for examination of dysphagia. The patient had undergone total gastrectomy and jejunal interposition 4 years previously for a gastric cancer at the pT1N0M0 stage according to the UICC-TNM classification. Enhanced CT findings revealed a 3-cm-diameter mass located near the superior mesenteric artery. We conducted subtotal esophagectomy associated with partial jejunectomy including mesojejunectomy. The mass was histologically diagnosed to be mesojejunal lymph node metastasis from esophageal cancer. Mesojejunal lymph node metastasis from esophageal cancer developing after total gastrectomy has been reported in only three cases including ours. The present lymph node metastase... Esophagus journals http://www.medworm.com/rss/comments.php?id=5441832 Sat, 19 Nov 2011 16:53:56 +0100 5441832 http://www.medworm.com/index.php?rid=5432340&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb5477k6601w7w846%2F Abstract  We herein describe the case of a 61-year-old man with stage II esophageal cancer who experienced chylothorax after esophagectomy. He was successfully treated with thoracic duct clipping and octreotide administration. Previously the patient had had a head and neck cancer treated with multimodality treatment: neoadjuvant chemoradiation therapy, operation, and adjuvant CRT. Then, esophagectomy with lymph node dissection without resection of the thoracic duct was performed via a right thoraco-abdominal approach. On postoperative day 1, enteral nutrition was started. On day 5, the chest tube drainage increased to 2000 ml per day. On day 7, the drainage fluid increased to 3000 ml per day, and its color turned cloudy white. We then performed lymphoscintigraphy ... Esophagus journals http://www.medworm.com/rss/comments.php?id=5432340 Fri, 18 Nov 2011 17:32:53 +0100 5432340 http://www.medworm.com/index.php?rid=5422992&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7488561760k16310%2F Abstract  Most esophageal cancers are either squamous cell carcinomas or Barrett’s mucosa-derived adenocarcinomas. A 64-year-old man with a long history of alcohol drinking and smoking was found to have a tumor in the cervical esophagus on screening esophagography. Subsequent work-up revealed double primary cancer of the esophagus consisting of adenocarcinoma arising from ectopic gastric mucosa in the cervical esophagus and squamous cell carcinoma in the abdominal esophagus. He underwent subtotal esophagectomy. On microscopic examination of the resected specimen, the Ip tumor in the cervical esophagus was confirmed to be an adenocarcinoma derived from ectopic gastric mucosa that had invaded the muscularis mucosa, and the 0-IIb tumor located near the esophagogastric juncti... Esophagus journals http://www.medworm.com/rss/comments.php?id=5422992 Tue, 15 Nov 2011 16:57:57 +0100 5422992 http://www.medworm.com/index.php?rid=5388446&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9062un8308v68455%2F Content Type Journal ArticleCategory Case AtlasPages 1-6DOI 10.1007/s10388-011-0294-4Authors Ken Kato, Gastrointestinal Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=5388446 Tue, 01 Nov 2011 16:51:39 +0100 5388446 http://www.medworm.com/index.php?rid=5336901&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1305518643253m35%2F This report describes the case of a 47-year-old Japanese man who complained of persistent fever. Hematological examination showed marked leukocytosis with neutrophilia and elevation of C-reactive protein (CRP). Esophagogastroduodenoscopy demonstrated a polypoid tumor (5 cm in length) in the thoracic esophagus, which was suggested to cause high fever. After subtotal esophagectomy, leukocyte count and CRP level rapidly decreased and the high fever disappeared. Histological examination revealed a carcinosarcoma with four components: squamous cell carcinoma (SCC), basaloid carcinoma, spindle/pleomorphic cell sarcoma, and osteosarcoma. Immunohistochemically, the spindle/pleomorphic cells were positive for granulocyte colony-stimulating factor (G-CSF) and interleukin-6 (IL-6). The pa... Esophagus journals http://www.medworm.com/rss/comments.php?id=5336901 Wed, 19 Oct 2011 15:46:03 +0100 5336901 http://www.medworm.com/index.php?rid=5336902&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4p4u4j702m864n32%2F Conclusions  Minimally invasive esophagectomy may be a comparable or superior option to OTE in surgery for T1b esophageal cancer. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s10388-011-0295-3Authors Yosuke Izumi, Department of Surgery, Tokyo Metropolitan Cancer and Infectious diseases Center, Komagome Hospital, 18-22 Honkomagome 3, Bunkyo-ku, Tokyo, 113-8677 JapanTairo Ryotokuji, Department of Surgery, Tokyo Metropolitan Cancer and Infectious diseases Center, Komagome Hospital, 18-22 Honkomagome 3, Bunkyo-ku, Tokyo, 113-8677 JapanTomoyoshi Suzuki, Department of Surgery, Tokyo Metropolitan Cancer and Infectious diseases Center, Komagome Hospital, 18-22 Honkomagome 3, Bunkyo-ku, Tokyo, 113-8677 JapanAkinori Miura, Department of Surgery, Tokyo ... Esophagus journals http://www.medworm.com/rss/comments.php?id=5336902 Mon, 17 Oct 2011 16:02:00 +0100 5336902 http://www.medworm.com/index.php?rid=5316211&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1382k43620445r44%2F Content Type Journal ArticleCategory Congress Report: President's LecturePages 1-13DOI 10.1007/s10388-011-0292-6Authors Hiromasa Fujita, Department of Surgery, Kurume University School of Medicine, Kurume, Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=5316211 Sat, 08 Oct 2011 15:44:55 +0100 5316211 http://www.medworm.com/index.php?rid=5209901&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft737316l7q301h04%2F Conclusions  ICG fluorescence can be employed to evaluate the blood supply to reconstructed organs and can be useful in selecting the patients who do not need additional vessel anastomosis. However, anastomotic leakage was not reduced, so the microcirculation detected by ICG fluorescence did not necessarily provide appropriate blood supply for a viable anastomosis. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s10388-011-0291-7Authors Yutaka Shimada, Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, Sugitani 2630, Toyama, 930-0194 JapanTomoyuki Okumura, Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences for Research, Univers... Esophagus journals http://www.medworm.com/rss/comments.php?id=5209901 Sat, 10 Sep 2011 06:04:02 +0100 5209901 http://www.medworm.com/index.php?rid=5196956&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbg31212k2223v461%2F Abstract  Changes in the standard treatment for esophageal cancer in Japan are reflected in the history of consecutive studies conducted by the Japan Esophageal Oncology Group (JEOG), a subgroup of the Japan Clinical Oncology Group (JCOG). Following the era of preoperative radiotherapy in the 1970s, the emphasis in surgical adjuvant therapy shifted from postoperative radiotherapy in the 1980s to postoperative chemotherapy including cisplatin as a key drug in the 1990s. Later, the optimal timing for perioperative adjuvant therapy returned to before surgery based on the results of a JCOG study (JCOG9907) that compared preoperative chemotherapy with postoperative chemotherapy in the late 2000s. Next, the clinical question of which is better, preoperative aggressive chemotherap... Esophagus journals http://www.medworm.com/rss/comments.php?id=5196956 Fri, 02 Sep 2011 05:51:38 +0100 5196956 http://www.medworm.com/index.php?rid=5184773&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkmu3444k53467209%2F Abstract  Esophageal cancer rarely metastasizes to the brain. The authors experienced a case of esophageal carcinoma which metastasized to the cerebellum as the first presentation. A 61-year-old man was identified as having esophageal carcinoma by esophagogastroduodenoscopy during a medical checkup. Subtotal esophagectomy with dissection of 3 regional lymph nodes was performed. The tumor was 30 × 20 mm2 in size, and was revealed to be a moderately differentiated squamous cell carcinoma. The pathological finding was T1b(SM)N0M0 stage I. Fourteen months after the surgery, the patient complained of nausea. Brain magnetic resonance imaging (MRI) showed a cystic tumor of 42 × 28 × 28 mm3 in size in the central cerebellum. No other me... Esophagus journals http://www.medworm.com/rss/comments.php?id=5184773 Mon, 29 Aug 2011 16:00:07 +0100 5184773 http://www.medworm.com/index.php?rid=5176119&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh5l5j52211r25t48%2F We report two cases of rare benign esophageal schwannoma showing high uptake of radiotracer on [18F]fluoro-2-deoxy-d-glucose positron emission tomography (FDG-PET). Case 1 was a 78-year-old woman with a tumor (50 × 30 × 30 mm) located on the right side of the upper thoracic esophagus. Case 2 was a 70-year-old woman with a tumor (40 × 35 × 27 mm) located in the left anterior wall of the thoracic-to-cervical esophagus. Both tumors were enucleated and histologically diagnosed as benign esophageal schwannoma with nuclear palisading and lymphoid cuffing (Antoni A type). Immunohistochemical staining showed positivity for S-100 protein. There have been five reported cases of esophageal schwannoma with FDG-PET findings, including the presen... Esophagus journals http://www.medworm.com/rss/comments.php?id=5176119 Sat, 27 Aug 2011 15:47:11 +0100 5176119 http://www.medworm.com/index.php?rid=5170820&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0h15406j27k362t3%2F Conclusion  Administration of nizatidine and itopride hydrochloride is suggested to augment peristaltic contraction in the second and third segments of the esophageal body. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s10388-011-0289-1Authors Kenji Koshino, Second Department of Internal Medicine, Shimane University Faculty of Medicine, Izumo, JapanKyoichi Adachi, Department of Clinical Nursing, Shimane University Faculty of Medicine, 89-1 Enya-cho, Izumo, Shimane 693-8501, JapanKenji Furuta, Second Department of Internal Medicine, Shimane University Faculty of Medicine, Izumo, JapanMasahito Aimi, Second Department of Internal Medicine, Shimane University Faculty of Medicine, Izumo, JapanKousuke Fukazawa, Second Department of Internal Medic... Esophagus journals http://www.medworm.com/rss/comments.php?id=5170820 Thu, 25 Aug 2011 05:45:58 +0100 5170820 http://www.medworm.com/index.php?rid=5163127&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff44681t585j6j30r%2F In this report, we discuss the clinical course of such a rare case. Content Type Journal ArticleCategory Case ReportPages 1-5DOI 10.1007/s10388-011-0287-3Authors Takeyuki Wada, Division of General and Gastrointestinal Surgery, Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582 JapanHiroya Takeuchi, Division of General and Gastrointestinal Surgery, Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582 JapanNaoki Fujimura, Division of General and Gastrointestinal Surgery, Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582 JapanRieko Nakamura, Division of General and Gastrointestinal Surgery, Department of Surgery, School of ... Esophagus journals http://www.medworm.com/rss/comments.php?id=5163127 Wed, 17 Aug 2011 05:42:49 +0100 5163127 http://www.medworm.com/index.php?rid=5132810&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F18636g813657l244%2F Content Type Journal ArticlePages 1-8DOI 10.1007/s10388-011-0281-9Authors Soji Ozawa, Department of Gastroenterological Surgery, Tokai University School of Medicine, 143 Shimokasuya Isehara, Kanagawa, 259-1193 Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=5132810 Sat, 13 Aug 2011 06:11:01 +0100 5132810 http://www.medworm.com/index.php?rid=5132811&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu8k9587860g2323n%2F Conclusion  Increased esophageal muscle thickness by EUS is likely to be an important marker of achalasia. Sex, symptom score, mean LES pressure, duration of disease and response to treatment were not correlated with muscularis layer thickness. Content Type Journal ArticlePages 1-4DOI 10.1007/s10388-011-0286-4Authors Rasoul Sotoudehmanesh, Digestive Disease Research Center (DDRC), Tehran University of Medical Science, Shariati Hospital, Karegare Shomali Ave, Tehran, 141117 IranJavad Mikaeli, Digestive Disease Research Center (DDRC), Tehran University of Medical Science, Shariati Hospital, Karegare Shomali Ave, Tehran, 141117 IranMohamad Daneshpajooh, Digestive Disease Research Center (DDRC), Tehran University of Medical Science, Shariati Hospital, Karegare Shomali Ave... Esophagus journals http://www.medworm.com/rss/comments.php?id=5132811 Fri, 12 Aug 2011 06:18:46 +0100 5132811 http://www.medworm.com/index.php?rid=5110463&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ffk155w0tx1524215%2F Abstract  A 62-year-old man underwent subtotal esophagectomy with an extended three-field lymph node dissection for squamous cell carcinoma of the lower thoracic esophagus (histological stage pT3N1M0, pStage III). Computed tomography showed a swollen paraaortic lymph node about 6 years later. Positron emission tomography also indicated lymph node metastasis. The patient was treated with surgery, and the lymph node was diagnosed to be metastasis of esophageal cancer. Surgery was followed by chemotherapy with nedaplatin and 5-fluorouracil. The patient has remained alive more than 5 years after surgery without any evidence of recurrence. Although the optimal treatment for the recurrence region of esophageal cancer remains controversial, the current case suggests the ... Esophagus journals http://www.medworm.com/rss/comments.php?id=5110463 Sat, 06 Aug 2011 05:54:30 +0100 5110463 http://www.medworm.com/index.php?rid=5064213&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh756610705n53222%2F Abstract  A 54-year-old male undergoing hemodialysis was admitted to our hospital because of difficulty in swallowing. Esophagography and esophageal endoscopy revealed an irregular ulcerated lesion in the cervical esophagus. It was diagnosed as a small-cell esophageal cancer from the biopsy sample. Computed tomography showed a tumor infiltrating the trachea and a few lymph node metastases in the cervix, upper mediastinum, and abdomen. The patient was started on chemotherapy with cisplatin (CDDP) and etoposide (VP-16), which had been reported to be effective for small-cell lung cancer. The patient was treated with CDDP (80 mg/m2) on day 1 and VP-16 (100 mg/m2) on days 1, 3, and 5, every 4 weeks. On the days of chemotherapy, hemodialysis was started as soon as po... Esophagus journals http://www.medworm.com/rss/comments.php?id=5064213 Tue, 19 Jul 2011 06:40:26 +0100 5064213 http://www.medworm.com/index.php?rid=5040681&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy4706010w8801268%2F Abstract  Granular cell tumors of the esophagus are rare neoplasms and their diagnosis is mainly based on histopathologic examination of endoscopic biopsies. With the development of endoscopic techniques, there has been a marked increase in local treatment modalities for early esophageal neoplasms. In this case report, we describe the removal of a granular cell tumor by the endoscopic submucosal dissection technique, and briefly discuss the literature on clinicopathologic aspects and management of granular cell tumors. Content Type Journal ArticlePages 1-5DOI 10.1007/s10388-011-0283-7Authors Masanobu Nakajima, Department of Surgery I, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi, 321-0293 JapanHiroyuki Kato, Department of Surgery I, Dokky... Esophagus journals http://www.medworm.com/rss/comments.php?id=5040681 Thu, 14 Jul 2011 06:05:09 +0100 5040681 http://www.medworm.com/index.php?rid=5021611&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr1461xxj26268g40%2F Abstract  Basaloid squamous carcinoma (BSC) of the esophagus is a rare but distinct variant of esophageal carcinoma, identical to BSC of the upper aerodigestive tract. The incidence of BSC has been reported to present 0.4–3.6% of total esophageal malignant tumors. The average age of BSC patients was 64 years, ranging from 42 to 87 years, with male predominance (male to female ratio 6.8:1). The tumor preferentially occurs in the middle part of the thoracic esophagus and appears a subepithelial tumor-like or polypoid elevation in early stages. Histologically, it is composed of basaloid cells with oval to round nuclei and scant basophilic cytoplasms, which show a solid growth pattern, small gland-like spaces, and foci of comedo-type necrosis with hyalinized stroma ... Esophagus journals http://www.medworm.com/rss/comments.php?id=5021611 Fri, 08 Jul 2011 06:29:19 +0100 5021611 http://www.medworm.com/index.php?rid=5021612&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1xn0kx5545773138%2F Abstract  The consensus meeting was held at the 64th Annual Meeting of the Japan Esophageal Society (JES) in 2010. The majority of the 150 participants were surgeons with a license as a specialist in esophageal surgery or as a certified esophagologist authorized by the JES working in a university hospital or cancer center. Using the answer pad system, each participant chose one answer among three to five answers to a total of 32 questions. Concerning the Japanese Classification of Esophageal Cancer, the majority supported dividing T4 into T4a and T4b, to classify the N category based on a combination of the spread and the number of lymph nodes with metastasis, and to maintain the anatomical staging and the same staging systems for squamous cell carcinoma and adenocarcinoma.... Esophagus journals http://www.medworm.com/rss/comments.php?id=5021612 Fri, 08 Jul 2011 06:29:17 +0100 5021612 http://www.medworm.com/index.php?rid=5021613&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fnv5607112m518532%2F Abstract  We introduce our novel and original idea of placing a feeding catheter gastrostomy (FCG) at esophagectomy with gastric tube reconstruction through the posterior mediastinal route. The 9-Fr catheter was inserted into the jejunum through the gastric tube by the creation of submucosal and Witzel tunnels on the gastric antrum. Among the 45 patients who underwent FCG, the catheter was guided to the anterior abdominal wall through the sub-diaphragm route in 25 patients (group A) or the extra-peritoneal route with the overlapping of catheter entry by the omentum in 20 patients (group B). There were no cases of spontaneous catheter prolapse or bowel obstruction. Five out of 45 patients (11.1%), including 4 (16%) in group A and 1 (5%) in group B, showed mild and transient ... Esophagus journals http://www.medworm.com/rss/comments.php?id=5021613 Thu, 07 Jul 2011 05:43:15 +0100 5021613 http://www.medworm.com/index.php?rid=4971046&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh48u32521u513j75%2F Conclusions  The combination chemotherapy with docetaxel and nedaplatin is a feasible and promising regimen as a second-line therapy in metastatic or recurrent esophageal cancer refractory to chemotherapy with 5-fluorouracil and cisplatin. Content Type Journal ArticlePages 1-7DOI 10.1007/s10388-011-0277-5Authors Ryohei Kawabata, Sakai Municipal Hospital, 1-1-1 Minami-Yasui-cho, Sakai-ku, Sakai, Osaka 590-0064, JapanHiroshi Imamura, Sakai Municipal Hospital, 1-1-1 Minami-Yasui-cho, Sakai-ku, Sakai, Osaka 590-0064, JapanTomono Kishimoto, Sakai Municipal Hospital, 1-1-1 Minami-Yasui-cho, Sakai-ku, Sakai, Osaka 590-0064, JapanShinji Kitamura, Sakai Municipal Hospital, 1-1-1 Minami-Yasui-cho, Sakai-ku, Sakai, Osaka 590-0064, JapanYoshimi Hachino, Sakai Municipal Hospital, ... Esophagus journals http://www.medworm.com/rss/comments.php?id=4971046 Tue, 21 Jun 2011 18:01:24 +0100 4971046 http://www.medworm.com/index.php?rid=4896260&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fwu49057736h50553%2F We present the case of a 64-year-old woman with cervico-thoracic esophageal cancer who had previously undergone distal gastrectomy. Definitive CRT was initially performed since the patient refused laryngectomy. However, she developed an esophageal fistula and a subsequent cervico-mediastinal abscess, which made oral intake impossible. In order to address the fistula, abscess, and cancer, we decided to perform a staged operation. The patient first underwent total pharyngo-laryngo-esophagectomy and abscess drainage. She next underwent esophageal reconstruction with an ileocolonic conduit through a subcutaneous route. The patient is currently alive and well after surgery. This case suggests that surgical resection may be performed in high-risk patients with cervico-thoracic esophageal c... Esophagus journals http://www.medworm.com/rss/comments.php?id=4896260 Mon, 30 May 2011 17:02:18 +0100 4896260 http://www.medworm.com/index.php?rid=4896261&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb333787401j51513%2F Content Type Journal ArticlePages 1-8DOI 10.1007/s10388-011-0273-9Authors Yoshiaki Osaka, Department of 3rd Surgery, Tokyo Medical University, 6-7-1 Nishi-shinjuku, Shinjuku-ku, Tokyo, 160-0023 Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=4896261 Mon, 23 May 2011 17:07:41 +0100 4896261 http://www.medworm.com/index.php?rid=4822680&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F21727xg1h0077057%2F Abstract  Gastropericardial fistulae are rare and may cause fatal complications such as acute purulent carditis and cardiac tamponade. The present report describes a case of a gastropericardial fistula caused by a peptic ulcer perforating a retrosternal reconstructed gastric tube 2 years after subtotal esophagectomy for esophageal cancer. Surgical intervention involved left thoracotomy, pericardium fenestration, and drainage of the pericardium and left thoracic cavity. The patient suffered postoperative complications including septic shock, acute respiratory distress syndrome, and cardiac insufficiency; however, he recovered after successful surgical intervention. In this case, the withdrawal of proton pump inhibitors and the patient’s sustained drinking habit after ... Esophagus journals http://www.medworm.com/rss/comments.php?id=4822680 Tue, 10 May 2011 06:04:16 +0100 4822680 http://www.medworm.com/index.php?rid=4822681&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9012q264w4730585%2F Abstract  Esophageal bronchogenic cyst is a rare congenital malformation. Although thoracoscopic resection is useful, it has not been adopted for esophageal cysts with a large size or severe inflammatory adhesions. We first reported a case of esophageal bronchogenic cyst that was completely resected using endo-staplers during video-assisted thoracoscopic surgery. A 28-year-old man was referred for the treatment of a mediastinal cystic tumor located between the trachea and esophagus. His chief complaints were coughing and chest pain. We performed the operation using a right thoracoscopic approach. The cyst showed an exophytic protrusion with a thin stalk connected to the esophageal wall. Because the split of the muscle layer around the cyst was difficult and the enucleation ... Esophagus journals http://www.medworm.com/rss/comments.php?id=4822681 Tue, 10 May 2011 06:04:15 +0100 4822681 http://www.medworm.com/index.php?rid=4611700&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F044n0l7139t17251%2F Conclusion  The HRA-F model was useful for identifying regional differences in ESCC risk and persons at high risk of ESCC in the Japanese population. Content Type Journal ArticlePages 1-9DOI 10.1007/s10388-011-0270-zAuthors Yoshifumi Nakagawa, Department of Gastroenterology, Oita Kouseiren Tsurumi Hospital, Tsurumi 4333, Beppu, Oita 874-8585, JapanAkira Yokoyama, National Hospital Organization, Kurihama Alcoholism Center, Yokosuka, Kanagawa JapanTakayuki Nagai, Department of Gastroenterology, Oita Kouseiren Tsurumi Hospital, Tsurumi 4333, Beppu, Oita 874-8585, JapanHitoshi Okawara, Department of Gastroenterology, Oita Kouseiren Tsurumi Hospital, Tsurumi 4333, Beppu, Oita 874-8585, JapanHiroshi Nakashima, Department of Gastroenterology, Oita Kouseiren Tsurumi Hospital,... Esophagus journals http://www.medworm.com/rss/comments.php?id=4611700 Wed, 16 Mar 2011 12:00:31 +0100 4611700 http://www.medworm.com/index.php?rid=4611702&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff8n3204351685138%2F Abstract  Esophageal achalasia is a primary motility disorder of the esophagus. Although various treatments can relieve the symptoms, esophageal cancer arising in patients with achalasia is the most important problem for long-term survivors. We encountered 2 cases of esophageal squamous cell carcinoma co-existing with achalasia that had been diagnosed 27 and 30 years earlier, respectively. Neither patient had been aware of dysphagia due to dilatation of the esophagus. Both patients underwent esophagectomy via right thoracotomy. Although esophagectomy with radical lymphadenectomy was performed successfully in one case of submucosal cancer, the primary tumor in the other case was more invasive and aggressive than indicated by the preoperative clinical diagnosis, and coul... Esophagus journals http://www.medworm.com/rss/comments.php?id=4611702 Wed, 16 Mar 2011 12:00:30 +0100 4611702 http://www.medworm.com/index.php?rid=4611701&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp2763380g71168r5%2F Conclusions  Significant gender differences in patients with esophagectomy were observed regarding the preoperative condition, clinicopathologic features, postoperative condition, and long-term outcome after surgery. It was suggested that the more favorable outcome of women with esophageal cancer was associated with their earlier stages of esophageal cancer. Content Type Journal ArticlePages 1-6DOI 10.1007/s10388-011-0271-yAuthors Naohiko Koide, Department of Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621 JapanMasato Kitazawa, Department of Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621 JapanDaisuke Komatsu, Department of Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-862... Esophagus journals http://www.medworm.com/rss/comments.php?id=4611701 Wed, 16 Mar 2011 12:00:30 +0100 4611701 http://www.medworm.com/index.php?rid=4550423&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fyg2w014408x15v05%2F Conclusions  Induction CRT followed by esophagectomy showed superior results compared with definitive CRT in local progression but no difference in overall survival. Content Type Journal ArticlePages 1-7DOI 10.1007/s10388-011-0268-6Authors Tsutomu Nakamura, Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666 JapanMasaho Ota, Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666 JapanTakeshi Ohki, Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666 JapanTakuya Sato, Department of Surgery, Institute of Gastroenterology, Tokyo W... Esophagus journals http://www.medworm.com/rss/comments.php?id=4550423 Wed, 02 Mar 2011 07:45:55 +0100 4550423 http://www.medworm.com/index.php?rid=4541695&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fqlj48p4709022n26%2F Content Type Journal ArticlePages 1-7DOI 10.1007/s10388-011-0269-5Authors Hiroyuki Kato, Department of Surgical Oncology (Surgery I), Dokkyo Medical University, 880 Kitakobayashi, Mibu-machi, Shimotsuga-gun, Tochigi, 321-0293 JapanMasanobu Nakajima, Department of Surgical Oncology (Surgery I), Dokkyo Medical University, 880 Kitakobayashi, Mibu-machi, Shimotsuga-gun, Tochigi, 321-0293 Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=4541695 Fri, 25 Feb 2011 17:58:01 +0100 4541695 http://www.medworm.com/index.php?rid=4541696&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj77771xn5n61t074%2F We report a case of spontaneous submucosal dissection of the esophagus of a 58-year-old patient. In September 2005, he complained of chest pain followed by vomiting. Endoscopy showed an ulcerative lesion in the entire circumference of the middle esophagus. No malignant cells were observed in biopsy specimen. The patient received therapy with hyperalimentation, a proton pump inhibitor, and Alloid G. The lesion healed under conservative treatment with a good clinical course and without the development of stenosis. One year later, we performed 24-h pH monitoring and esophageal manometry to clarify the pathogenesis of submucosal dissection in this patient. There was no gastroesophageal reflux, but the manometry test revealed decreased amplitude in the portion of the esophageal lesion tha... Esophagus journals http://www.medworm.com/rss/comments.php?id=4541696 Fri, 25 Feb 2011 07:19:08 +0100 4541696 http://www.medworm.com/index.php?rid=4541697&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv6j7m405h767n32p%2F Abstract  Endoscopic submucosal dissection (ESD) recently has been aggressively performed to treat superficial esophageal cancer; however, it is difficult to secure a good field of view for mucosal dissection, and the technique requires considerable skill. We have developed a double-channel ESD method using an endoscopic esophageal mucosal resection (EEMR) tube that makes it possible to perform the submucosal dissection with a good field of view while applying countertraction. Countertraction is achieved by maneuvering a fine grasping forceps inserted through the side channel of the EEMR tube, and the field of view of the submucosal dissection layer can be easily exposed. This technique can be performed while constantly observing the submucosal dissection layer with a stabl... Esophagus journals http://www.medworm.com/rss/comments.php?id=4541697 Thu, 24 Feb 2011 17:36:21 +0100 4541697 http://www.medworm.com/index.php?rid=4541698&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fem0gp33270qp3407%2F Conclusion  Antitumor efficacy of NACT for advanced esophageal cancer is significantly associated with the severity of neutropenia. To elucidate the mechanisms underlining these observations, pharmacokinetic and genetic chemosensitivity analyses are needed in future studies. Content Type Journal ArticlePages 1-7DOI 10.1007/s10388-011-0267-7Authors Masaaki Motoori, Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari-ku, Osaka, Osaka 537-8511, JapanMasahiko Yano, Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari-ku, Osaka, Osaka 537-8511, JapanTakushi Yasuda, Department of Surgery, Kinki University, School of Medicine, 377-2 Ohno-Higashi, Osakasay... Esophagus journals http://www.medworm.com/rss/comments.php?id=4541698 Wed, 23 Feb 2011 23:35:47 +0100 4541698 http://www.medworm.com/index.php?rid=4541699&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm46l8n40376v3743%2F Content Type Journal ArticlePages 1-21DOI 10.1007/s10388-011-0266-8Authors Soji Ozawa, Department of Gastroenterological Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, JapanYuji Tachimori, Department of Surgery, National Cancer Center Hospital, Tokyo, JapanHideo Baba, Department of Gastroenterological Surgery, Graduate School of Medical Sciences Kumamoto University, Kumamoto, JapanMitsuhiro Fujishiro, Department of Endoscopy and Endoscopic Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, JapanHisahiro Matsubara, Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanHodaka Numasaki, Department of Medical Physics and Engineering, Osaka University Graduate School of Medicine, Osaka, JapanTsun... Esophagus journals http://www.medworm.com/rss/comments.php?id=4541699 Wed, 23 Feb 2011 23:35:45 +0100 4541699 http://www.medworm.com/index.php?rid=4503147&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F92p4570646363047%2F Conclusion  Induction chemotherapy followed by CRT is expected to improve the survival rate without increasing severe therapy-associated complications in patients with T4M0 esophageal cancer. Content Type Journal ArticlePages 1-7DOI 10.1007/s10388-011-0255-yAuthors Akinori Miura, Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo, 113-8670 JapanMichitaka Honda, Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo, 113-8670 JapanYousuke Izumi, Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo, 113-8670 JapanTsuyoshi ... Esophagus journals http://www.medworm.com/rss/comments.php?id=4503147 Fri, 18 Feb 2011 16:56:02 +0100 4503147 http://www.medworm.com/index.php?rid=4503148&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh472287973g47775%2F We report a case of a 51-year-old man with esophageal cancer who had a complete pathological response to preoperative chemotherapy with a combination of docetaxel, cisplatin and 5-fluorouracil (DCF). Endoscopy and esophagography showed a type II tumor 8 cm in diameter, located in the upper thoracic esophagus. On computed tomography the diagnosis was T3N1M0, stage III disease according to TNM classification. Before surgery, the patient received DCF therapy, consisting of docetaxel (60 mg/m2) on day 1, cisplatin (60 mg/m2) on day 1, and 5-fluorouracil (800 mg/m2) on days 1–5. The patient had grade 3 hematological toxicity, but two courses were administered as scheduled. After chemotherapy, esophagography and computed tomography showed that the tumor had shrunk. Esop... Esophagus journals http://www.medworm.com/rss/comments.php?id=4503148 Fri, 18 Feb 2011 06:45:10 +0100 4503148 http://www.medworm.com/index.php?rid=4503150&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg242k67885405812%2F Abstract  Two randomized trials showed that survival was similar after definitive chemoradiation (CRT) or after CRT and surgery in locally advanced esophageal squamous cell cancer, despite more frequent local recurrences. In one trial randomization was done at inclusion, whereas in the other trial a workup was performed after initial CRT; only clinical responders were randomized between surgery and additional CRT. Therefore, clinical non-responders could be operated on without delay. Indeed, randomized patients and nonrandomized operated patients had a similar survival, even if no response was seen on the specimen. However, evidence of benefit is poor in cases of delayed recurrence. Only small nonrandomized studies have considered this issue. R0 resection rates ranged from ... Esophagus journals http://www.medworm.com/rss/comments.php?id=4503150 Fri, 18 Feb 2011 06:45:09 +0100 4503150 http://www.medworm.com/index.php?rid=4503149&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq8245337643h35r7%2F Conclusions  Hb supply is essentially unnecessary if the balance of oxygen supply/demand in tissues is well maintained. ScvO2 may be a better indicator of a physiological need for blood than Hb in postesophagectomy patients. ScvO2 is not influenced by hemodilution and lowering of Hb to around 60% of the preoperative value. As well as being a useful start indicator for blood transfusions, ScvO2 could also become a stop indicator. Content Type Journal ArticlePages 1-6DOI 10.1007/s10388-011-0260-1Authors Makoto Kobayashi, Department of Surgery, Hakodate Goryoukaku Hospital, 38-3 Goryoukaku-cho, Hakodate, Hokkaido 040-8611, JapanMasayoshi Ko, Department of Anesthesiology, Hakodate Goryoukaku Hospital, Hakodate, JapanTakashi Irinoda, Department of Surgery, Hakodate Goryouk... Esophagus journals http://www.medworm.com/rss/comments.php?id=4503149 Fri, 18 Feb 2011 06:45:09 +0100 4503149 http://www.medworm.com/index.php?rid=4496177&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk11847j3846h71wn%2F Conclusions  S-1 and nedaplatin in combination with radiotherapy is feasible, and toxicity is tolerable. This treatment method has the potential to shorten hospitalization and maintain patient QOL without impairing the efficacy of CRT. Content Type Journal ArticlePages 1-7DOI 10.1007/s10388-011-0261-0Authors Takashi Tsuda, Division of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, JapanHiroyuki Inaba, Department of Internal Medicine, General Sagami Kosei Hospital, Sagamihara, Kanagawa JapanAya Miyazaki, Department of Internal Medicine, General Sagami Kosei Hospital, Sagamihara, Kanagawa JapanNaoki Izawa, Division of Gastroenterology and Hepatology, Dep... Esophagus journals http://www.medworm.com/rss/comments.php?id=4496177 Wed, 16 Feb 2011 07:02:08 +0100 4496177 http://www.medworm.com/index.php?rid=4496176&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk103111312286107%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10388-011-0257-9Authors Nobutoshi Ando, Tokyo Dental College Ichikawa General Hospital, 5-11-13 Sugano, Ichikawa, Chiba 272-8513, JapanSpringer, Tokyo, Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=4496176 Wed, 16 Feb 2011 07:02:08 +0100 4496176 http://www.medworm.com/index.php?rid=4496178&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F37600n73w1465022%2F Abstract  A 64-year-old man visited our hospital complaining of abdominal discomfort. A 2-cm-long 0-IIc + IIa esophageal superficial carcinoma was detected in the middle third of the thoracic esophagus with endoscopy and esophagography. Computed tomography (CT) did not detect any metastasis. The patient underwent video-assisted thoracic surgery of the esophagus (VATS-E). Anastomotic leakage and a thoracic abscess were detected 16 days after the operation. Repeated thoracic drainages and conservative therapy with enteral nutrition were continued for approximately 1 month, but an esophago-mediastinal fistula and small mediastinal cavity remained. Additional drainage using interventional radiology (IVR) reduced the size of the cavity, but could not cure the... Esophagus journals http://www.medworm.com/rss/comments.php?id=4496178 Wed, 16 Feb 2011 07:02:07 +0100 4496178 http://www.medworm.com/index.php?rid=4496180&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F23p6725t74x51416%2F Abstract  The mainstay treatment for benign esophageal stricture is dilation with medical therapy. Although dilation usually provides symptomatic relief, recurrent refractory strictures often occur. Here we describe the treatment of a patient with a diffuse esophageal stricture caused by severe acid exposure from frequent vomiting during treatment of a duodenal ulcer. Administration of a proton pump inhibitor without dilation relieved the diffuse stricture and completely restored esophageal motility in this patient. Content Type Journal ArticlePages 1-3DOI 10.1007/s10388-011-0262-zAuthors Satoru Motoyama, Department of Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543 JapanKiyotomi Maruyama, Department of Surgery, Akita University Grad... Esophagus journals http://www.medworm.com/rss/comments.php?id=4496180 Wed, 16 Feb 2011 07:02:04 +0100 4496180 http://www.medworm.com/index.php?rid=4496179&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa0756m6r101n81h8%2F This report concerns a 68-year-old man with an esophageal gastrointestinal stromal tumor (GIST) surgically resected after preoperative treatment. Endoscopic examination and the biopsy revealed the submucosal tumor in the lower esophagus to be c-kit gene positive, and we diagnosed the tumor as a GIST. Computed tomography showed a 124 × 74 × 115 mm mass with an unclear margin adjacent to the posterior wall of the left atrium and the inferior right pulmonary vein. As we judged the tumor to be locally advanced and unresectable because of its size and invasiveness, we started neoadjuvant therapy with imatinib mesylate to attain downstaging for complete surgical resection. After 3 months of the treatment, the size of the tumor was reduced to 84 × 5... Esophagus journals http://www.medworm.com/rss/comments.php?id=4496179 Wed, 16 Feb 2011 07:02:04 +0100 4496179 http://www.medworm.com/index.php?rid=4471176&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fruk6485j16126747%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10388-011-0259-7Authors Nasir Zaheer Ahmad, Letterkenny General Hospital, Letterkenny, County Donegal, Republic of IrelandAftab Ahmed, Letterkenny General Hospital, Letterkenny, County Donegal, Republic of Ireland Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=4471176 Thu, 10 Feb 2011 19:57:16 +0100 4471176 http://www.medworm.com/index.php?rid=4466108&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4465k3536582n174%2F Conclusion  In summary, our questionnaire-based study showed that symptom-based classification of NERD and FD is not easy because of symptom overlap. Possible overlap of NERD and FD should always be considered. Content Type Journal ArticlePages 1-5DOI 10.1007/s10388-011-0256-xAuthors Haruhiko Nagami, Nagami Clinic, Kisuki, JapanYoshinori Kushiyama, Matsue Red Cross Hospital, Matsue, JapanErina Kakuta, Matsue Red Cross Hospital, Matsue, JapanHirofumi Fujishiro, Shimane Prefectural Central Hospital, Izumo, JapanKenji Furuta, Department of Gastroenterology and Hepatology, Shimane University School of Medicine, 89-1 Enya, Izumo, Shimane 693-8501, JapanYoshinori Komazawa, Izumo General Medical Center, Izumo, JapanTomoyuki Hashimoto, Hashimoto Clinic, Izumo, JapanKenji Tsub... Esophagus journals http://www.medworm.com/rss/comments.php?id=4466108 Tue, 08 Feb 2011 21:10:34 +0100 4466108 http://www.medworm.com/index.php?rid=4286076&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4705727260022q64%2F Abstract  Gastrointestinal stromal tumors (GISTs) rarely occur in the esophagus. Surgical approaches for such tumors have not been established, since the standard wedge or segmental resection that is used for intra-abdominal GIST is not possible in the esophagus. We report two cases of small esophageal GIST in which thoracoscopic enucleation was performed. Both patients underwent the thoracoscopic surgery using four trocars. The tumor size was 43 and 32 mm in patients 1 and 2, respectively. The operating time was 240 and 238 min. The final diagnosis was as low-risk GIST in both patients. Postoperative course was uneventful and both patients have been disease-free at a follow-up of 40 and 32 months. Considering the special case of the esophagus and the very good prognosis of... Esophagus journals http://www.medworm.com/rss/comments.php?id=4286076 Mon, 20 Dec 2010 22:29:09 +0100 4286076 http://www.medworm.com/index.php?rid=4286077&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F408487856260575j%2F Abstract  Previous staging of esophageal cancer was based on a simple, orderly arrangement of increasing anatomic T, then N, then M classifications. This system is consistent with neither data nor cancer biology. Recent worldwide collaboration has provided data for unique, modern machinelearning analysis that has resulted in a new, data-driven staging system for cancer of the esophagus and esophagogastric junction. This new system is presented in the seventh editions of the AJCC and UICC Cancer Staging Manuals. It is more representative of and consistent with the clinical reality of survival of patients with esophageal cancer. Changes address problems of empiric stage grouping and lack of harmonization with stomach cancer. In addition, for the first time, nonanatomic cancer... Esophagus journals http://www.medworm.com/rss/comments.php?id=4286077 Mon, 20 Dec 2010 22:29:08 +0100 4286077 http://www.medworm.com/index.php?rid=4286078&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk1752j7358087k5t%2F This study was designed to examine the shortfalls of methylene blue-directed biopsies (MBDB) and conventional random biopsies (RB) in the surveillance of Barrett’s esophagus. A Cochrane and Medline search was performed, and five randomized controlled trials (RCTs) comprising 213 patients were selected for the meta-analysis. Random biopsies failed to spot specialized intestinal metaplasia (SIM) in a significantly higher number of patients than MBDB (risk ratio, 0.724; confidence interval, 0.552–0.950). The rate of underdiagnosis of dysplasia was comparable between the two techniques (risk ratio, 0.766; confidence interval, 0.273–2.147). More biopsies were obtained using the RB technique, and a significantly higher number of biopsies was reported as normal in comparison to MBDB (... Esophagus journals http://www.medworm.com/rss/comments.php?id=4286078 Mon, 20 Dec 2010 22:29:06 +0100 4286078 http://www.medworm.com/index.php?rid=4286079&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ftj3217m7t4701402%2F Abstract  “Linitis plastica” refers to a histological characterization of diffusely infiltrating, poorly differentiated adenocarcinoma. Linitis plastica-type esophageal adenocarcinoma is extremely rare: this is thought to be only the sixth case report of linitis plastica involving the esophagus. A 60-year-old man was referred to our hospital after repeated endoscopic examinations over the course of a few months. Because he complained of dysphagia, upper endoscopy was performed, revealing stenosis with a few mucosal changes of the lower esophagus. Gastroesophageal reflux disease was initially diagnosed, but biopsy revealed adenocarcinoma. At the time of operation, peritoneal metastasis was noted. Macroscopically, the lesion was diffusely infiltrating, almost completely c... Esophagus journals http://www.medworm.com/rss/comments.php?id=4286079 Mon, 20 Dec 2010 22:29:04 +0100 4286079 http://www.medworm.com/index.php?rid=4286080&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj507805517605834%2F Conclusions  For mucosal epithelium or lamina propria mucosae lesions, ESD was the first choice of treatment. For muscularis mucosae lesions, the indication of ESD was allowable. For lesions infiltrating the upper third of the submucosa, one of five cases had lymph node recurrence after ESD, and two cases of radical esophagectomy were alive without recurrence. Content Type Journal ArticleDOI 10.1007/s10388-010-0249-1Authors Masato Watanabe, Department of Surgery, Kitakyushu Municipal Medical Center, 2-1-1 Basyaku, Kokurakita-ku, Kitakyushu, 802-0077 JapanNobuhiro Suehara, Department of Surgery, Kitakyushu Municipal Medical Center, 2-1-1 Basyaku, Kokurakita-ku, Kitakyushu, 802-0077 JapanKenichiro Koga, Department of Surgery, Kitakyushu Municipal Medical Center, 2-1-1 ... Esophagus journals http://www.medworm.com/rss/comments.php?id=4286080 Mon, 20 Dec 2010 22:29:02 +0100 4286080 http://www.medworm.com/index.php?rid=4286081&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa25477j868j077w0%2F Content Type Journal ArticleDOI 10.1007/s10388-010-0251-7Authors Jörg Rüdiger Siewert, University Medical Center Heidelberg, Im Neuenheimer Feld 672, 69120 Heidelberg, Germany Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 7 Journal Issue Volume 7, Number 4 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=4286081 Mon, 20 Dec 2010 22:29:01 +0100 4286081 http://www.medworm.com/index.php?rid=4286082&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr1v897446w2p5gh8%2F Content Type Journal ArticleDOI 10.1007/s10388-010-0252-6 Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 7 Journal Issue Volume 7, Number 4 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=4286082 Mon, 20 Dec 2010 22:28:59 +0100 4286082 http://www.medworm.com/index.php?rid=4286083&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frp314wh4k21p66w1%2F Content Type Journal ArticleDOI 10.1007/s10388-010-0247-3 Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 7 Journal Issue Volume 7, Number 4 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=4286083 Mon, 20 Dec 2010 22:28:58 +0100 4286083 http://www.medworm.com/index.php?rid=3995552&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5pj5h22462405371%2F We report a patient with advanced esophageal carcinoma associated with dermatomyositis who successfully maintained long-term good nutritional status by chemoradiation therapy and continuous enteral nutrition. A 64-year-old Japanese man was admitted to our hospital because of dysphagia and systemic edema. Because of debilitated status and malnutrition, intravenous corticosteroid infusion was first performed. Continuous enteral nutrition was performed through percutaneous endoscopic gastrostomy, and chemoradiation therapy was then performed. Although the endoscopic examination revealed complete regression of esophageal carcinoma, an esophagobronchial fistula was formed. The patient was periodically followed up by a multidisciplinary team for appropriate nutritional management; as a res... Esophagus journals http://www.medworm.com/rss/comments.php?id=3995552 Tue, 21 Sep 2010 18:01:16 +0100 3995552 http://www.medworm.com/index.php?rid=3995551&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm10465018181m627%2F Conclusions  Endoscopic mucosal resection is limitedly proposed for mucosal tumors. Esophagectomy with a mediastinal lymphadenectomy should be conducted for tumors invading the submucosa. An individualized strategy is required that could approach the upper mediastinum based on staging and location of lymph node metastases. Content Type Journal ArticleDOI 10.1007/s10388-010-0237-5Authors Yoshimi Iwanuma, Department of Esophageal & Gastroenterological Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421 JapanNatsumi Tomita, Department of Esophageal & Gastroenterological Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421 JapanTakayuki Amano, Department of Esophageal & Gastroenterological Surgery, ... Esophagus journals http://www.medworm.com/rss/comments.php?id=3995551 Tue, 21 Sep 2010 18:01:16 +0100 3995551 http://www.medworm.com/index.php?rid=3995555&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk1878nm46523p666%2F Abstract  A novel method of endoscopic submucosal dissection (ESD) has improved en bloc resection rates and decreased local recurrence after endoscopic therapy as compared with endoscopic mucosal resection (EMR), and resected ESD specimens allow accurate histopathological assessment. Although ESD has become popular for treating gastric neoplasms, esophageal ESD is more difficult than gastric ESD because of the anatomical characteristics of the esophagus. Thus, advanced endoscopic techniques are required. A good endoscopic field cannot always be obtained because the lumen of the abdominal esophagus is very narrow. Thus, the abdominal esophagus is one of the most technically difficult locations in which to implement ESD. Mucosal incision and submucosal dissection at the dista... Esophagus journals http://www.medworm.com/rss/comments.php?id=3995555 Tue, 21 Sep 2010 18:01:15 +0100 3995555 http://www.medworm.com/index.php?rid=3995554&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu512u2pn13448m43%2F Conclusion  The FSSG can be used to predict the optimal therapeutic medicine in patients with GERD, especially requirements of PPI maintenance therapy. Content Type Journal ArticleDOI 10.1007/s10388-010-0245-5Authors Masaki Miyamoto, Department of General Internal Medicine, Prefectural Hiroshima Hospital, 1-5-54 Ujina-Kanda, Minami-ku, Hiroshima, 734-8530 JapanNoriaki Manabe, Department of Gastroenterology, Kawasaki Medical School of Medicine, Kurashiki, JapanKen Haruma, Department of Gastroenterology, Kawasaki Medical School of Medicine, Kurashiki, Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 7 Journal Issue Volume 7, Number 3 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=3995554 Tue, 21 Sep 2010 18:01:15 +0100 3995554 http://www.medworm.com/index.php?rid=3995553&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc627553322664m54%2F We report the case of a 71-year-old hemodialyzed man who was successfully treated with docetaxel for squamous cell carcinoma of the esophagus. He had received radiotherapy for squamous cell carcinoma of the esophagus 6 years earlier. Metachronous esophageal cancer had developed at the upper third of the esophagus. He was treated tri-weekly with docetaxel at a dose of 60 mg/body in combination with hemodialysis three times a week. He achieved complete response after five cycles of chemotherapy. A small elevated lesion was diagnosed at the anal edge of the scar 26 months after initial treatment, and endoscopic mucosal resection and ablation was performed. Chemotherapy with docetaxel was continued up to 50 months without significant toxicity. The patient died of infection resulting from... Esophagus journals http://www.medworm.com/rss/comments.php?id=3995553 Tue, 21 Sep 2010 18:01:15 +0100 3995553 http://www.medworm.com/index.php?rid=3995556&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb542n471767g0037%2F We report two cases of diaphragmatic herniation after esophagectomy for carcinoma of the esophagus, and estimate the incidence of herniation and assess surgical results on the basis of reported cases in the English-language literature. Content Type Journal ArticleDOI 10.1007/s10388-010-0244-6Authors Hiroyuki Daiko, Department of Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577 JapanMitsuyo Nishimura, Department of Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577 JapanRyuichi Hayashi, Department of Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577 Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 7 Journal I... Esophagus journals http://www.medworm.com/rss/comments.php?id=3995556 Tue, 21 Sep 2010 18:01:14 +0100 3995556 http://www.medworm.com/index.php?rid=3995557&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjm9813866183117x%2F We present our management strategy for a difficult case in which (complete) esophageal occlusion by tumor burden precluded endoscopic passage of the guide wire required to successfully perform such a procedure. Simple tube pericardiostomy is presented as an alternative procedure that produced a satisfactory outcome. This surgical procedure is an appropriate palliative alternative when an endoscopic procedure is not feasible, and is much less invasive than the surgical palliative procedures reported in the literature. Content Type Journal ArticleDOI 10.1007/s10388-010-0242-8Authors Nikola Dobrilovic, Department of Cardiovascular and Thoracic Surgery, The University of Texas Southwestern Medical Center, Dallas, Texas, 5323 Harry Hines Blvd, Dallas, TX 75390, USAShamsuddin Khwaja, ... Esophagus journals http://www.medworm.com/rss/comments.php?id=3995557 Tue, 21 Sep 2010 18:01:11 +0100 3995557 http://www.medworm.com/index.php?rid=3995558&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa188565282738142%2F Content Type Journal ArticleDOI 10.1007/s10388-010-0238-4 Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 7 Journal Issue Volume 7, Number 3 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=3995558 Tue, 21 Sep 2010 18:01:10 +0100 3995558 http://www.medworm.com/index.php?rid=3668315&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe2246770n3011554%2F Conclusions  Ulcer healing occurred within 4 weeks after esophageal EMR/ESD irrespective of the extent or method of resection. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-010-0236-6Authors Masaho Ota, Tokyo Women’s Medical University Department of Surgery, Institute of Gastroenterology 8-1 Kawada-cho Shinjuku-ku, Tokyo 162-8666 JapanTakeshi Ohki, Tokyo Women’s Medical University Department of Surgery, Institute of Gastroenterology 8-1 Kawada-cho Shinjuku-ku, Tokyo 162-8666 JapanTsutomu Nakamura, Tokyo Women’s Medical University Department of Surgery, Institute of Gastroenterology 8-1 Kawada-cho Shinjuku-ku, Tokyo 162-8666 JapanKazuhiko Hayashi, Tokyo Women’s Medical University Department of Surgery, Institute of Gastroenterology 8-1 Ka... Esophagus journals http://www.medworm.com/rss/comments.php?id=3668315 Mon, 14 Jun 2010 14:22:31 +0100 3668315 http://www.medworm.com/index.php?rid=3668317&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd377x115q068k250%2F Conclusions  Aggressive additional treatments should be performed early after operations for residual tumors. Control of distant metastasis is considered the primary issue in recurrent and residual treatment. Therefore, the establishment of effective chemotherapeutic agents and molecular targeting agents or combination therapy is necessary. In addition, further surgery should be pursued aggressively in cases in which tumor progression can be controlled. Continued treatment did not necessarily prolong survival; thus, physicians must respect the patient’s wish to continue the treatment and select suitable treatments that do not compromise the patient’s quality of life. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-010-0229-5Authors Yasu... Esophagus journals http://www.medworm.com/rss/comments.php?id=3668317 Mon, 14 Jun 2010 14:22:30 +0100 3668317 http://www.medworm.com/index.php?rid=3668316&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm52661r625765482%2F Conclusions  The rate of postoperative pneumonia was about 10% despite preventative efforts including oral care, respiratory rehabilitation, and rehabilitation for swallowing disorders. In cases of postoperative pneumonia after a thoracic esophagectomy for esophageal cancer among patients with preoperative hospital stays of 5 days or more, it may be advisable to select empiric therapy covering multidrug-resistant gram-negative pathogens, especially Pseudomonas aeruginosa. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-010-0227-7Authors Yasuhiro Tsubosa, Shizuoka Cancer Center Hospital Division of Esophageal Surgery Nagaizumi, Sunto, Shizuoka 411-8777 JapanHiroshi Sato, Shizuoka Cancer Center Hospital Division of Esophageal Surgery Nagaizumi,... Esophagus journals http://www.medworm.com/rss/comments.php?id=3668316 Mon, 14 Jun 2010 14:22:30 +0100 3668316 http://www.medworm.com/index.php?rid=3668319&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc5427n0444611086%2F 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 c-KIT and CD34, and negative for desmin and S-100. The patient underwent middle and lower esophagectomy via left thoracotomy, followed by gastric tube reconstruction. The tumor was completely resected, but a metastasis in the right paracardial lymph node was observed. Pathological examination confirmed the tumor to be high risk. We are carefully following up the patient. Content Type Jo... Esophagus journals http://www.medworm.com/rss/comments.php?id=3668319 Mon, 14 Jun 2010 14:22:29 +0100 3668319 http://www.medworm.com/index.php?rid=3668318&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flv0258317tw42518%2F Conclusions  This regimen as preoperative chemotherapy seemed to provide a high response rate and a favorable survival benefit with acceptable toxicity and morbidity. To validate the clinical significance of this protocol, a randomized trial is essential. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-010-0234-8Authors Takahiro Yoshida, The University of Tokushima Graduate School Department of Surgery, Institute of Health Biosciences 2-50-1 Kuramoto-cho Tokushima 770-8503 JapanJunichi Seike, The University of Tokushima Graduate School Department of Surgery, Institute of Health Biosciences 2-50-1 Kuramoto-cho Tokushima 770-8503 JapanTakanori Miyoshi, Tokushima Municipal Hospital Department of Surgery Tokushima JapanHiromichi Yamai, The Universi... Esophagus journals http://www.medworm.com/rss/comments.php?id=3668318 Mon, 14 Jun 2010 14:22:29 +0100 3668318 http://www.medworm.com/index.php?rid=3668320&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu53822746484v676%2F Abstract  Polymyositis is known to amalgamate with malignant tumor. Here, we report a case of successfully resected esophageal carcinoma that amalgamated with polymyositis. Moreover, this is a rare case of squamous cell carcinoma combined with Barrett’s adenocarcinoma. A 47-year-old man was admitted to a hospital because of progressive dysphagia and difficulty in walking. Laboratory data showed creatine phosphokinase (CPK) was elevated, and he was diagnosed with polymyositis. He was treated with steroids, and the symptoms were improved with decreased CPK. Endoscopic and pathological examination showed a squamous cell carcinoma (0-Ipl, SM2-3) combined with Barrett’s adenocarcinoma (0-IIa, M2) of the esophagus. Although we were concerned about postoperative complications ... Esophagus journals http://www.medworm.com/rss/comments.php?id=3668320 Mon, 14 Jun 2010 14:22:28 +0100 3668320 http://www.medworm.com/index.php?rid=3668321&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbg2364r443744w77%2F Abstract  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 observed to be disease free, another patient died of metastatic disease, and the other had recurrence. Six cases of carcinosarcoma treated with chemoradiotherapy were retrieved from the literature and analyzed with the four cases in the current study. Reduction of the tumor was observed in seven of the ten cases. Disease progression or local recurrence was observed in th... Esophagus journals http://www.medworm.com/rss/comments.php?id=3668321 Mon, 14 Jun 2010 14:22:27 +0100 3668321 http://www.medworm.com/index.php?rid=3668322&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft474k67832208848%2F 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 with video-assisted thoracoscopic surgery is required for lymphadenectomy of the affected lymph node. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10388-010-0230-zAuthors Shunzo Hatooka, Aichi Cancer Center Hospital Department of Thoracic Surgery 1-1 Kanokoden Chikusa-ku, Nagoya 464-8681 JapanTetsuya Abe, Aichi Cancer Center Hospital Department of Thoracic Surgery 1-1 Kanokoden Chikusa-ku, Nagoya 464-8681 JapanTakuya Saito, Aichi Cancer Center Hospital Department of Thoracic Surgery 1-1 Kanokoden Chikusa-ku, Nagoya 464-8681 JapanTetsuya Mitsudomi, Aichi Cancer Center Hospital Departm... Esophagus journals http://www.medworm.com/rss/comments.php?id=3668322 Mon, 14 Jun 2010 14:22:26 +0100 3668322 http://www.medworm.com/index.php?rid=3668323&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa7m458621025t246%2F We report a case of Boerhaave’s syndrome with liver cirrhosis and esophageal varices. The patient underwent an operation that comprised an esophageal exclusion with gastric tube reconstruction and a modified Sugiura procedure. This combined procedure may be an alternative, practicable approach for the treatment of esophageal perforation and the primary prophylaxis for variceal bleeding. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10388-010-0235-7Authors Chia-Ying Li, National Taiwan University Hospital and National Taiwan University College of Medicine Division of Thoracic Surgery, Department of Surgery 7 Jhong-Shan South Rd. Taipei 100 TaiwanPei-Ming Huang, National Taiwan University Hospital and National Taiwan University College of Medicine Division of Thora... Esophagus journals http://www.medworm.com/rss/comments.php?id=3668323 Mon, 14 Jun 2010 14:22:25 +0100 3668323 http://www.medworm.com/index.php?rid=3668324&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frng8481k7p7m9wh7%2F Content Type Journal ArticleCategory Case AtlasDOI 10.1007/s10388-010-0232-x Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 7 Journal Issue Volume 7, Number 2 / June, 2010 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=3668324 Mon, 14 Jun 2010 14:22:23 +0100 3668324 http://www.medworm.com/index.php?rid=3386384&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh5x18128577r0k55%2F Abstract  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 junction. The results of large clinical trials and meta-analyses demonstrate that trimodality therapy (chemoradiation followed by esophagectomy) improves local-regional control and overall survival compared to either single-modality surgery or the sequence of chemotherapy followed by surgery. Concomitant chemoradiation without surgery improves survival and local-regional ... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386384 Thu, 18 Mar 2010 15:10:50 +0100 3386384 http://www.medworm.com/index.php?rid=3386383&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr6h37074643p30g6%2F Conclusions  Intensive follow-up is required in the first 2 years after surgery, and early detection of recurrence is important. The accumulation of clinical data based on a fixed schedule with consensus is necessary to obtain more definite evidence for the diagnosis and treatment of recurrent esophageal cancer. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0221-0Authors Yasushi Toh, National Kyushu Cancer Center Department of Gastroenterological Surgery 3-1-1 Notame, Minami-ku Fukuoka 811-1395 JapanEiji Oki, National Kyushu Cancer Center Department of Gastroenterological Surgery 3-1-1 Notame, Minami-ku Fukuoka 811-1395 JapanKazuhito Minami, National Kyushu Cancer Center Department of Gastroenterological Surgery 3-1-1 Notame, Minami-ku F... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386383 Thu, 18 Mar 2010 15:10:50 +0100 3386383 http://www.medworm.com/index.php?rid=3386385&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F156t25w781h59250%2F Content Type Journal ArticleCategory Case AtlasDOI 10.1007/s10388-010-0222-z Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 7 Journal Issue Volume 7, Number 1 / March, 2010 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=3386385 Thu, 18 Mar 2010 15:10:47 +0100 3386385 http://www.medworm.com/index.php?rid=3386386&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg81n1m05mk4h517r%2F 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 and is deflected to the right. Then, the tendinous portion of the diaphragm arching over the esophagus is incised upward in the midline until the pericardium is exposed. Pericardial fatty tissue was dissected. Three U-shaped sutures reinforced with a felt pledget are placed on the posterior aspect of the pericardium and diaphragm. A 15 Fr. flexible catheter is placed over both ends of... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386386 Thu, 18 Mar 2010 15:10:46 +0100 3386386 http://www.medworm.com/index.php?rid=3386387&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F03088r44x11742x2%2F Conclusions  The OR is considered to be effective for the prevention of respiratory complications because it reduces the anxiety in preoperative patients and eases postoperative nursing care (by early ambulation). Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-010-0223-yAuthors Yosuke Masui, Kitakyushu Municipal Medical Center Nursing Department, Intensive Care Unit 2-1-1 Bashaku, Kokurakita-ku, Kitakyusyu Fukuoka 802-0077 JapanMasato Watanabe, Kitakyushu Municipal Medical Center Department of Surgery Fukuoka JapanNobuhiro Suehara, Kitakyushu Municipal Medical Center Department of Surgery Fukuoka JapanKeiyoshi Tamae, Kitakyushu Municipal Medical Center Department of Surgery Fukuoka JapanNozomi Mizuo, Kitakyushu Municipal Medical Center Nursing... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386387 Thu, 18 Mar 2010 15:10:44 +0100 3386387 http://www.medworm.com/index.php?rid=3386388&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp115766m803mq401%2F Conclusions  VATS-E in prone position with a 30° thoracoscope and a single TV monitor appear to be superior to VATS-E in the left lateral position in terms of operative field, blood loss, respiratory tract complication, and number of lymph nodes dissected. Randomized control studies would help confirm these results. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0218-8Authors Shirou Kuwabara, Niigata City General Hospital Department of Surgery 463-7 Shumoku, Chuo-ku Niigata 950-1197 JapanNorio Katayanagi, Niigata City General Hospital Department of Surgery 463-7 Shumoku, Chuo-ku Niigata 950-1197 Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 7 Journal Issue Volume 7, Number 1 / March... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386388 Thu, 18 Mar 2010 15:10:43 +0100 3386388 http://www.medworm.com/index.php?rid=3386389&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx5374170q3475227%2F 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 in size. It was diagnosed as GIST of the esophagus for reasons of its high susceptibility to imatinib mesylate. Preoperative treatment with imatinib was performed in an attempt to preserve the esophagus. Although the tumor size was decreased by 36% after the 6-month treatment, transhiatal esophagectomy was required for complete resection, and esophageal preservation could not be accomplished... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386389 Thu, 18 Mar 2010 15:10:41 +0100 3386389 http://www.medworm.com/index.php?rid=3386390&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fehl8437875524742%2F Conclusions  Particular care is needed for a possible severe course of pneumonitis in cases with a PS ≥ 2, the likelihood of severe pleural effusion in cases with Mt/Lt cancer, and the likelihood of pericardial effusion in elderly patients. Measures to reduce late toxicity following chemoradiotherapy for esophageal carcinoma are desirable. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-010-0224-xAuthors Kazuhiro Nishikawa, Osaka General Medical Center Department of Surgery 3-1-56 Bandai-higashi, Sumiyoshi-ku Osaka 558-8558 JapanKazuhiro Iwase, Osaka General Medical Center Department of Surgery 3-1-56 Bandai-higashi, Sumiyoshi-ku Osaka 558-8558 JapanToyokazu Aono, Osaka General Medical Center Department of Surgery 3-1-56 Bandai-higashi, Sumi... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386390 Thu, 18 Mar 2010 15:10:40 +0100 3386390 http://www.medworm.com/index.php?rid=3386391&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F602562n41jl60713%2F 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 the hernia sac and converted to an open Nissen fundoplication. The operating time for patient 1 and patient 2 was 224 and 232 min, respectively. No postoperative morbidities occurred. At a follow-up of 18 and 2 months, the two patients had not had a relapse or any of their prior symptoms. The repair of an esophageal hiatus hernia with chronic gastric volvulus can be accomplished successfully and safely with an open or laparoscopic approach. Because this condition occurs mor... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386391 Thu, 18 Mar 2010 15:10:39 +0100 3386391 http://www.medworm.com/index.php?rid=3386392&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm5387n43pw38241p%2F Conclusions  The risk factors for recurrence were different between nonelderly patients and elderly patients. The laparoscopic Collis-Nissen methods should be indicated with caution in elderly GERD patients with a short esophagus. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0220-1Authors Nobuo Omura, Jikei University School of Medicine Department of Surgery 3-25-8 Nishi-shinbashi, Minato-ku Tokyo 105-8461 JapanHideyuki Kashiwagi, Jikei University School of Medicine Department of Surgery 3-25-8 Nishi-shinbashi, Minato-ku Tokyo 105-8461 JapanFumiaki Yano, Jikei University School of Medicine Department of Surgery 3-25-8 Nishi-shinbashi, Minato-ku Tokyo 105-8461 JapanKazuto Tsuboi, Jikei University School of Medicine Department of Surgery 3... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386392 Thu, 18 Mar 2010 15:10:37 +0100 3386392 http://www.medworm.com/index.php?rid=3386393&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv02542725qx0177g%2F Abstract  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 thickening of the midthoracic esophagus and left pleural effusion, which had increased metabolic activity as detected by 18F-fluorodeoxyglucose positron emission tomography. Cytological examination of the pleural effusion showed adenocarcinoma compatible with metastasis from a prior lobular carcinoma of the breast. Vinorelbine effectively relieved her symptoms, and the di... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386393 Thu, 18 Mar 2010 15:10:35 +0100 3386393 http://www.medworm.com/index.php?rid=3386394&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl602732uq7511511%2F Content Type Journal ArticleCategory Special ArticleDOI 10.1007/s10388-010-0228-6Authors Soji Ozawa, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanYuji Tachimori, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanHideo Baba, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanHisahiro Matsubara, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanKei Muro, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanHodaka Numasaki, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanTsuneo Oyama, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-... Esophagus journals http://www.medworm.com/rss/comments.php?id=3386394 Thu, 18 Mar 2010 15:10:34 +0100 3386394 http://www.medworm.com/index.php?rid=3112824&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fpj57083366jp7u60%2F Abstract  The ability to predict both short-term and long-term outcome after esophagectomy for cancer is invaluable. It helps us to select the appropriate patients for esophagectomy, to modify surgical procedures or perioperative care to lessen the chance of adverse events, and to decide if neoadjuvant or adjuvant therapies are of value. Predictors of morbidity and mortality after esophagectomy can include many individual factors or their combinations in the form of mathematical scores. Long-term prognosis depends to a large extent on disease stage, but the surgeon can play a major role as well, by minimizing postoperative complications and by performing a R0 resection with extended lymphadenectomy. The accuracy of prediction is improving as technology advances and understa... Esophagus journals http://www.medworm.com/rss/comments.php?id=3112824 Mon, 21 Dec 2009 06:41:01 +0100 3112824 http://www.medworm.com/index.php?rid=3112823&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy07kru7671u33g24%2F We present herein a case of a patient who was clinically diagnosed as having a granulocyte-colony stimulating factor (G-CSF)-producing tumor on the basis of the close correlation of the hematological parameters with the tumor status and his high serum G-CSF level. A 76-year-old male patient underwent transthoracic radical esophagectomy for advanced carcinoma of the lower esophagus. His leukocyte count and serum G-CSF level were markedly high at 24 260/μl and 134 pg/ml, respectively, before the operation. By immunohistochemical staining of the resected tumor, focal but obvious expression of G-CSF was demonstrated in the cytoplasm of cancer cells, and neutrophilic infiltration was histologically observed in adjacent struma of the tumor invasion front. After surgery, the leukocyte coun... Esophagus journals http://www.medworm.com/rss/comments.php?id=3112823 Mon, 21 Dec 2009 06:41:01 +0100 3112823 http://www.medworm.com/index.php?rid=3112825&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7526484x4247514n%2F Abstract  A case of esophageal stricture with Barrett’s esophagus after total gastrectomy is reported herein. A 72-year-old woman was referred to our hospital because of dysphagia due to a stricture in the esophagus for 5 years. She had earlier undergone total gastrectomy followed by Billroth II reconstruction consequent to a gastric ulcer at the age of 49 years. She was diagnosed as having an esophageal stricture with Barrett’s esophagus. The 24-h pH monitoring indicated significant reflux of alkaline duodenal contents into the esophagus. The patient underwent duodenal diversion with Roux-en-Y reconstruction. The postoperative course has been uneventful, with no dysphagia and no dilatation. No change in the extent of Barrett’s esophagus has been observed to date at 7... Esophagus journals http://www.medworm.com/rss/comments.php?id=3112825 Mon, 21 Dec 2009 06:41:00 +0100 3112825 http://www.medworm.com/index.php?rid=3112826&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe2205872187331q6%2F We report a rare case of verrucous squamous cell carcinoma (VSC) of the esophagus. A 73-year-old woman presented to our hospital with dysphagia. On gastrointestinal endoscopy, a white mass with a cauliflower-like appearance (3.5 cm in diameter) was detected in the upper esophagus at 23 cm from the incisors. Histological examination of a biopsy specimen revealed squamous epithelial hyperplasia and no malignancy. During 17 months of follow-up by repeated endoscopy, the lesion showed no marked changes in appearance. However, reexamination of the specimen obtained by partial endoscopic mucosal resection (EMR) using a jumbo biopsy forceps revealed very well differentiated squamous cell carcinoma corresponding to VSC. The clinical and histopathological characteristics of esophageal VSC are... Esophagus journals http://www.medworm.com/rss/comments.php?id=3112826 Mon, 21 Dec 2009 06:40:59 +0100 3112826 http://www.medworm.com/index.php?rid=3112827&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F63q0wx0636827m75%2F Conclusions  The results of laparoscopic fundoplication in Japanese patients were not affected by BMI. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0205-0Authors Kazuto Tsuboi, Jikei University School of Medicine Department of Surgery 3-25-8 Nishi-shinbashi, Minato-ku Tokyo 105-8461 JapanNobuo Omura, Jikei University School of Medicine Department of Surgery 3-25-8 Nishi-shinbashi, Minato-ku Tokyo 105-8461 JapanFumiaki Yano, Jikei University School of Medicine Department of Surgery 3-25-8 Nishi-shinbashi, Minato-ku Tokyo 105-8461 JapanHideyuki Kashiwagi, Jikei University School of Medicine Department of Surgery 3-25-8 Nishi-shinbashi, Minato-ku Tokyo 105-8461 JapanNaruo Kawasaki, Jikei University School of Medicine Department of Surgery 3-25... Esophagus journals http://www.medworm.com/rss/comments.php?id=3112827 Mon, 21 Dec 2009 06:40:58 +0100 3112827 http://www.medworm.com/index.php?rid=3112829&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv4khh517074260t7%2F Abstract  A 73-year-old man was diagnosed with superficial esophageal cancer, and endoscopic mucosal resection was performed. Histologically, the lesion was found to be a squamous cell carcinoma invading the muscularis mucosae without vascular invasion. The patient was followed without being given adjuvant therapy, and lymph node recurrence along the lesser curvature of the stomach was found after 2.5 years. He underwent laparoscopic removal of the metastatic lymph node and cholecystectomy for cholecystolithiasis. He had two courses of adjuvant chemotherapy and showed no recurrence during 3 years of observation. Although the effectiveness of surgical resection for nodal recurrence of esophageal cancer remains controversial, this case highlights the possibility of salvage re... Esophagus journals http://www.medworm.com/rss/comments.php?id=3112829 Mon, 21 Dec 2009 06:40:57 +0100 3112829 http://www.medworm.com/index.php?rid=3112828&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd17450266324n245%2F Conclusions  Superficial-type rT1 recurrence had a good prognosis with a low rate of nonlocal recurrence, whereas submucosal tumor type rT1 recurrence had a relatively high nonlocal recurrence rate and mortality. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0213-0Authors Sachiko Yamamoto, Osaka Medical Center for Cancer and Cardiovascular Diseases Department of Gastrointestinal Oncology 1-3-3 Nakamichi, Higashinariku Osaka 537-8511 JapanRyu Ishihara, Osaka Medical Center for Cancer and Cardiovascular Diseases Department of Gastrointestinal Oncology 1-3-3 Nakamichi, Higashinariku Osaka 537-8511 JapanHiroyasu Iishi, Osaka Medical Center for Cancer and Cardiovascular Diseases Department of Gastrointestinal Oncology 1-3-3 Nakamichi, Higashinar... Esophagus journals http://www.medworm.com/rss/comments.php?id=3112828 Mon, 21 Dec 2009 06:40:57 +0100 3112828 http://www.medworm.com/index.php?rid=3112830&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl858141146105425%2F We report a patient with multiple early-stage PMME (tumor invasion was limited to the mucosa, and no lymph node metastasis was detected). Despite initial endoscopic treatment followed by systemic chemotherapy, frequent multiple metachronous lesions occurred. These lesions were all flat type, and disease control of the primary site was achieved only by repeated endoscopic treatment. Liver metastasis developed 7 years after the first diagnosis of this disease; however, the patient has been doing well with stable disease for 1 year after single transarterial chemoembolization. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10388-009-0204-1Authors Shuko Morita, Kyoto University Department of Gastroenterology and Hepatology, Graduate School of Medicine 54 Kawahara-cho, Sh... Esophagus journals http://www.medworm.com/rss/comments.php?id=3112830 Mon, 21 Dec 2009 06:40:56 +0100 3112830 http://www.medworm.com/index.php?rid=3112833&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F312xu564777313v8%2F Content Type Journal ArticleCategory Congress Report: SummariesDOI 10.1007/s10388-009-0212-1 Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 6 Journal Issue Volume 6, Number 4 / December, 2009 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=3112833 Mon, 21 Dec 2009 06:40:55 +0100 3112833 http://www.medworm.com/index.php?rid=3112832&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk6870385j122j302%2F Conclusions  We conclude that patients with esophageal involvement by Chagas’ disease ingest water more slowly, with a smaller volume in each swallow, and have a later proximal esophageal response to swallows than normal subjects. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0203-2Authors Roberto Oliveira Dantas, Medical School of Ribeirão Preto — USP Department of Medicine 14049-900 Ribeirão Preto SP BrazilLeda Maria Tavares Alves, Medical School of Ribeirão Preto — USP Department of Ophthalmology, Otorhinolaryngology, Head and Neck Surgery Ribeirão Preto SP BrazilRachel de Aguiar Cassiani, Medical School of Ribeirão Preto — USP Department of Medicine 14049-900 Ribeirão Preto SP BrazilCarla Manfredi dos Santos, Medical Schoo... Esophagus journals http://www.medworm.com/rss/comments.php?id=3112832 Mon, 21 Dec 2009 06:40:55 +0100 3112832 http://www.medworm.com/index.php?rid=3112831&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu372310348l5vx63%2F We report a case of a fistula caused by cervical anastomotic leakage after pharyngo-laryngo-esophagectomy that was successfully and safely treated with a self-expandable covered stent. A patient with esophageal carcinoma and inferior pharyngeal carcinoma underwent pharyngo-laryngo-esophagectomy. Postoperatively, a major anastomotic insufficiency formed with constant outflow of salivary juice. The fistula did not show a tendency to close, and therefore we decided to cover the primary orifice of the fistula from the inner side by placing a stent over the orifice. Stent placement was performed endoscopically on the 35th postoperative day. Fifteen days later, a gastrografin study showed closure of the fistula, and 21 days after placement the stent was removed successfully. In this case t... Esophagus journals http://www.medworm.com/rss/comments.php?id=3112831 Mon, 21 Dec 2009 06:40:55 +0100 3112831 http://www.medworm.com/index.php?rid=3112834&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj55u03hm463265ng%2F Content Type Journal ArticleCategory Case AtlasDOI 10.1007/s10388-009-0210-3 Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 6 Journal Issue Volume 6, Number 4 / December, 2009 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=3112834 Mon, 21 Dec 2009 06:40:54 +0100 3112834 http://www.medworm.com/index.php?rid=2810921&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr9263422lj341435%2F Abstract  We reviewed the clinicopathological characteristics of 14 patients who underwent resection of basaloid squamous carcinoma (BSC) of the esophagus. The mean age was 65.3 years, and all patients were male. Seven patients had superficial BSCs and 7 had advanced BSCs. BSCs were associated with high rates of lymph node metastases and venous invasion. With regard to immunohistochemistry, the rate of cyclin D1 expression was higher (13/14), and the preservation rate of E-cadherin expression was lower (4/14), than that seen in ordinary esophageal squamous cell carcinoma. Squamous cell carcinoma components were most often found at sites of lymph node metastases, whereas basaloid components predominated at sites of hematogenous metastases in 4 patients, including lung, brain... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810921 Tue, 15 Sep 2009 21:44:51 +0100 2810921 http://www.medworm.com/index.php?rid=2810923&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1682492h132th29t%2F Conclusions  The prognosis of surgically resected cases of esophageal small cell carcinoma is poor; therefore, either chemotherapy or chemoradiotherapy should be administered to such cases. Furthermore, improved understanding of the biological characteristics of this type of tumor will result in the development of new therapeutic strategies, which are expected to improve patient outcome. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0197-9Authors Noriaki Sadanaga, Kyushu University Department of Surgery and Science, Graduate School of Medical Sciences Fukuoka 812-8582 JapanMasaru Morita, Kyushu University Department of Surgery and Science, Graduate School of Medical Sciences Fukuoka 812-8582 JapanTakanobu Masuda, Kyushu University Departme... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810923 Tue, 15 Sep 2009 21:44:50 +0100 2810923 http://www.medworm.com/index.php?rid=2810922&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9572353261871124%2F Abstract  A male patient in his thirties was referred with dysphagia lasting 8 years. He had a history of a laparotomy for a testicular tumor in his twenties. From an upper gastrointestinal contrast X-ray, he was diagnosed to have sigmoid-type achalasia (greatest transverse diameter, 80 mm). Hand-assisted laparoscopic Heller-Dor surgery was performed because straightening of the esophagus using only a laparoscope was difficult due to the marked curvature of the lower mediastinal part of the esophagus and the history of a laparotomy. The postoperative course was excellent; the patient was discharged on day 9. At present, his dysphagia has disappeared and oral intake is satisfactory. Marked improvement was also found on a timed barium esophagogram. In sigmoid-type achalasia, ... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810922 Tue, 15 Sep 2009 21:44:50 +0100 2810922 http://www.medworm.com/index.php?rid=2810924&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg7w3311v62h17g24%2F Conclusions  IE is feasible and safe even after transthoracic esophagectomy with 3FLND. To avoid the possible disadvantages of MV after surgery, IE can be a standard protocol for postoperative management after transthoracic esophagectomy with radical lymph node dissection. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0198-8Authors Yasushi Toh, National Kyushu Cancer Center Department of Gastroenterological Surgery 3-1-1 Notame, Minami-ku Fukuoka 811-1395 JapanEiji Oki, National Kyushu Cancer Center Department of Gastroenterological Surgery 3-1-1 Notame, Minami-ku Fukuoka 811-1395 JapanKazuhito Minami, National Kyushu Cancer Center Department of Gastroenterological Surgery 3-1-1 Notame, Minami-ku Fukuoka 811-1395 JapanTakeshi Okamura, Nati... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810924 Tue, 15 Sep 2009 21:44:49 +0100 2810924 http://www.medworm.com/index.php?rid=2810925&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy120423754h13775%2F We report two patients with carcinosarcoma of the esophagus who received neoadjuvant chemoradiotherapy and underwent curative resection. Patient 1 was a 50-year-old man with a type 2 lesion in the upper thoracic esophagus; clinical stage was T3 or partial T4N1M0. After chemoradiotherapy the tumor and the lymph nodes become smaller, and subtotal esophagectomy was performed. Patient 2 was a 66-year-old man with a protruding lesion in the lower thoracic esophagus. Preoperative chemoradiotherapy was administered, and he had a partial response. However, surgery was postponed because of pneumonia; 11 months later, tumor enlargement was confirmed and we then performed subtotal esophagectomy. The therapeutic role and effectiveness of both chemotherapy and radiotherapy remain unclear. We rev... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810925 Tue, 15 Sep 2009 21:44:48 +0100 2810925 http://www.medworm.com/index.php?rid=2810926&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fpx93155836m2114m%2F Abstract  Endoscopic submucosal dissection (ESD) has gradually gained acceptance as one of the standard treatments for esophageal squamous cell carcinoma in Japan. Principal indications are little likelihood of nodal metastasis and having technical resectability. All lesions with preoperative diagnosis of high-grade intraepithelial neoplasms, including carcinomas in situ (T1a-EP), carcinomas invading the lamina propria (T1a-LPM), and some with preoperative diagnosis of carcinomas invading the muscularis mucosa (T1a-MM) and minute submucosal invasion (T1b-SM1), may become candidates for ESD, considering the substantial risks and benefits to be obtained. ESD as a staging measure to obtain histological confirmation of invasion depth and lymphovascular infiltration may be accep... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810926 Tue, 15 Sep 2009 21:44:47 +0100 2810926 http://www.medworm.com/index.php?rid=2810927&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx28477j143545p82%2F Conclusions   GP73 is a candidate gene in esophageal cancer that may be the target of future molecular-targeted therapy in combination with CDDP. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0201-4Authors Takeyasu Katada, Nagoya City University Graduate School of Medical Science, Oncology, Immunology and Surgery 1 Kawasumi, Mizuho-cho, Mizuho-ku Nagoya 467-8601 JapanHideyuki Ishiguro, Nagoya City University Graduate School of Medical Science, Oncology, Immunology and Surgery 1 Kawasumi, Mizuho-cho, Mizuho-ku Nagoya 467-8601 JapanMasahiro Kimura, Nagoya City University Graduate School of Medical Science, Oncology, Immunology and Surgery 1 Kawasumi, Mizuho-cho, Mizuho-ku Nagoya 467-8601 JapanAkira Mitui, Nagoya City University Graduate Scho... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810927 Tue, 15 Sep 2009 21:44:46 +0100 2810927 http://www.medworm.com/index.php?rid=2810930&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm1k6105070l47001%2F Abstract  Although recent studies have shown that early enteral nutrition (EEN) has certain advantages over parenteral nutrition for preventing postoperative complications, few previous studies have examined the effects of enteral nutrition in patients undergoing esophagectomy. Here we review the effects of EEN with regular polymeric or other disease-specific enteral formulas in patients undergoing esophagectomy. Previously reported data suggest that nutritional management with early enteral feeding may be beneficial and that an appropriate selection of specific enteral formula enriched with disease-specific nutrients is important to prevent postoperative complications in patients undergoing radical esophagectomy. The use of immune-enhancing enteral formula (IEF) showed a c... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810930 Tue, 15 Sep 2009 21:44:45 +0100 2810930 http://www.medworm.com/index.php?rid=2810929&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw06q24186455l632%2F In this report, we describe a Japanese case of multiple lesions of adenocarcinoma in long-segment Barrett’s esophagus, resected by thoracoscopic surgery. Our experience indicates that thoracoscopic esophagectomy could be one of the treatment options for multiple malignant or extensive precancerous lesions in long-segment Barrett’s esophagus. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10388-009-0199-7Authors Takeshi Iwaya, Iwate Medical University School of Medicine Department of Surgery 19-1 Uchimaru Morioka 020-8505 JapanYusuke Kimura, Iwate Medical University School of Medicine Department of Surgery 19-1 Uchimaru Morioka 020-8505 JapanSatoshi Nishizuka, Iwate Medical University School of Medicine Department of Surgery 19-1 Uchimaru Morioka 020-8505 JapanNoriy... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810929 Tue, 15 Sep 2009 21:44:45 +0100 2810929 http://www.medworm.com/index.php?rid=2810928&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F673lt8vk81ql6563%2F Abstract  In an attempt to improve survival of patients with locally advanced esophageal cancer, chemoradiotherapy consisting of cisplatin, 5-fluorouracil (5-FU), and irradiation has recently been used. For such patients, concurrent chemoradiotherapy using docetaxel in combination with cisplatin and 5-FU has been introduced and is under evaluation. We herein report an esophageal cancer patient with concomitant distant lymph node metastasis in whom a complete response was achieved by chemoradiation therapy. A 46-year-old man was diagnosed as having stage IV A esophageal cancer with synchronous bulky metastasis in the celiac lymph node, and concurrent chemoradiotherapy was started. Chemotherapy consisting of docetaxel (30 mg/m2 on days 1, 8), cisplatin (60 mg/m2 on day 1), and... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810928 Tue, 15 Sep 2009 21:44:45 +0100 2810928 http://www.medworm.com/index.php?rid=2810931&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv9v555335t642663%2F Conclusions  The majority of esophageal foreign bodies were successfully removed nonendoscopically in pediatric patients and endoscopically in adult patients. Endoscopic removal under topical pharyngeal anesthesia may not be indicated for patients who have swallowed large dental prostheses. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0190-3Authors Tatsuya Miyazaki, Saitama Medical University Department of Digestive Tract and General Surgery, Saitama Medical Center 1981 Tsujido-Machi, Kamoda Kawagoe, Saitama 350-8550 JapanNaoko Hokama, Saitama Medical University Department of Digestive Tract and General Surgery, Saitama Medical Center 1981 Tsujido-Machi, Kamoda Kawagoe, Saitama 350-8550 JapanNorio Kubo, Saitama Medical University Departme... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810931 Tue, 15 Sep 2009 21:44:44 +0100 2810931 http://www.medworm.com/index.php?rid=2810932&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl2852m0432328v93%2F Abstract  T0 lung cancer is an intrathoracic tumor with an unknown primary site that is diagnosed as originating from lung tissue by histological examination. A 52-year-old man presented with esophageal stenosis. Esophagogastroscopy revealed severe stenosis of the upper esophagus with normal mucosa. Chest computed tomography showed a mass adjacent to the azygos vein and right main bronchus, and another mass in the posterior mediastinum that compressed the right main bronchus. Initially, we diagnosed esophageal cancer with mediastinal lymph node metastasis. The patient died 24 months after starting chemotherapy. At autopsy, lung cancer was diagnosed by histological examination and immunostaining for cytokeratin 7, cytokeratin 20, and thyroid transcription factor-1 (TTF-1), s... Esophagus journals http://www.medworm.com/rss/comments.php?id=2810932 Tue, 15 Sep 2009 21:44:43 +0100 2810932 http://www.medworm.com/index.php?rid=2810933&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4329353280120m8u%2F Content Type Journal ArticleCategory Case AtlasDOI 10.1007/s10388-009-0192-1 Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 6 Journal Issue Volume 6, Number 3 / September, 2009 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=2810933 Tue, 15 Sep 2009 21:44:42 +0100 2810933 http://www.medworm.com/index.php?rid=2490093&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh032712228633343%2F Abstract  A case of carcinosarcoma arising from the area of intraepithelial spread of relapsed esophageal squamous cell carcinoma (SCC) after definitive chemoradiotherapy (CRT) is reported herein. A 71-year-old man was referred to our hospital because of a superficial esophageal carcinoma. Definitive CRT was performed because the patient refused surgical treatment. Complete response was recognized after CRT, but tumor relapse was diagnosed 3 months later. The relapsed tumor initially revealed a minimal depression with a small white nodule. This nodule developed to a sessile elevated mass after 1 month and finally to a polypoid tumor 3.2 × 2.3 × 1.5 cm in size within 125 days. A subtotal esophagectomy with two-field lymph node dissection was performed. Histologically, the ... Esophagus journals http://www.medworm.com/rss/comments.php?id=2490093 Wed, 17 Jun 2009 09:43:06 +0100 2490093 http://www.medworm.com/index.php?rid=2490092&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frv2h505537h17211%2F Abstract  A 63-year-old man with esophageal cancer underwent a subtotal esophagectomy via the thoracolaparotomy approach. Two years after the operation, a gastrobronchial fistula unexpectedly occurred in the right bronchus. After admission, medication including omeprazole and nutritional support administered through an enteral tube improved his general condition, and the gastrobronchial fistula was successfully closed with the seventh intercostal muscle flap. After the operation, sputa were aspirated with a bronchofiberscope through a tracheal incision rather than blindly with a catheter. He was in good condition 10 months after the operation. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10388-008-0183-7Authors Hisako Kubota, Kawasaki Medical School Depa... Esophagus journals http://www.medworm.com/rss/comments.php?id=2490092 Wed, 17 Jun 2009 09:43:06 +0100 2490092 http://www.medworm.com/index.php?rid=2490091&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F22723288241175hm%2F Content Type Journal ArticleCategory Special ArticleDOI 10.1007/s10388-009-0189-9Authors Soji Ozawa, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanYuji Tachimori, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanHideo Baba, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanHisahiro Matsubara, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanKei Muro, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanHodaka Numasaki, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanTsuneo Oyama, Japan Esophageal Society Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-... Esophagus journals http://www.medworm.com/rss/comments.php?id=2490091 Wed, 17 Jun 2009 09:43:06 +0100 2490091 http://www.medworm.com/index.php?rid=2490095&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq86241213qu10862%2F Conclusions  These results suggest that chemotherapy improves prognosis of responders significantly more than those who show downstaged pathological stage. However, the chemotherapy does not give any clinical benefit for non-responders. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-009-0188-xAuthors Masahiko Yano, Osaka Medical Center for Cancer and Cardiovascular Diseases Department of Surgery 1-3-3 Nakamichi, Higashinari-ku Osaka 537-8511 JapanMasaaki Motoori, Osaka Medical Center for Cancer and Cardiovascular Diseases Department of Surgery 1-3-3 Nakamichi, Higashinari-ku Osaka 537-8511 JapanKoji Tanaka, Osaka Medical Center for Cancer and Cardiovascular Diseases Department of Surgery 1-3-3 Nakamichi, Higashinari-ku Osaka 537-8511 JapanKentar... Esophagus journals http://www.medworm.com/rss/comments.php?id=2490095 Wed, 17 Jun 2009 09:43:04 +0100 2490095 http://www.medworm.com/index.php?rid=2490094&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1650506297306490%2F Content Type Journal ArticleCategory Special ArticleDOI 10.1007/s10388-009-0193-0Authors Japan Esophageal Society, Sun-city Inohana B, 3-2-4 Inohana, Chuo-ku Chiba 260-0856 Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 6 Journal Issue Volume 6, Number 2 / June, 2009 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=2490094 Wed, 17 Jun 2009 09:43:04 +0100 2490094 http://www.medworm.com/index.php?rid=2490096&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F881x26101j56kw38%2F This report describes two cases of skeletal muscle metastasis from esophageal cancer as the first distant metastasis. Case 1, a 58-year-old man with stage IVa upper thoracic esophageal squamous cell carcinoma (SqCC), underwent chemoradiotherapy (CRT) and a subtotal esophagectomy with a three-field lymph node dissection. After the operation, he complained of a painful mass in his forearm, which was diagnosed to be metastatic SqCC by a biopsy. Local radiation therapy and systemic chemotherapy were performed, but he died 7 months after the first CRT. Case 2, a 61-year-old woman with stage IVa middle thoracic SqCC, underwent CRT. 18F-Fluorodeoxyglucose positron emission tomography (FDG-PET) after the CRT showed a hot spot in the right gluteus maximus muscle, and it was diagnosed to be me... Esophagus journals http://www.medworm.com/rss/comments.php?id=2490096 Wed, 17 Jun 2009 09:43:03 +0100 2490096 http://www.medworm.com/index.php?rid=2490097&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fpx25431223h72764%2F Abstract  A 62-year-old woman was referred to our hospital with presenting pigmentation and/or dermal thickening in the nucha, face, axilla, abdomen, and hands. She also presented a history of weight loss of 4 kg during the previous 3 months. She was pathologically diagnosed as having acanthosis nigricans by skin biopsy. She subsequently underwent 18F-FDG-PET, CT, and upper gastrointestinal endoscopy, and then was diagnosed as having malignant acanthosis nigricans with squamous cell carcinoma in the esophagus at the clinical stage of T3, N0, M0, stage IIA in the UICC stage classification. She underwent subtotal esophagectomy through a left thoracotomy with thoracoabdominal two-field lymphadenectomy and esophageal reconstruction using a gastric tube through a retrosternal rou... Esophagus journals http://www.medworm.com/rss/comments.php?id=2490097 Wed, 17 Jun 2009 09:43:02 +0100 2490097 http://www.medworm.com/index.php?rid=2490098&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff170012715324616%2F Content Type Journal ArticleCategory Case AtlasDOI 10.1007/s10388-009-0191-2 Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 6 Journal Issue Volume 6, Number 2 / June, 2009 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=2490098 Wed, 17 Jun 2009 09:43:01 +0100 2490098 http://www.medworm.com/index.php?rid=2277419&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8692756w57476010%2F Abstract  The aim of the present study was to evaluate the safety of mediastinal microdialysis and its efficacy regarding the early diagnosis of anastomotic leakage after gastroesophageal resection for esophageal cancer. Eight consecutive patients were included; one patient was excluded for reasons of catheter malfunction. The tip of the mediastinal microdialysis catheter was placed close to the anastomosis and held by a 4-0 absorbable suture. A subcutaneous microdialysis catheter placed in the pectoral region served as a reference. Samples collected every 4 h in the first 8 postoperative days were analyzed for lactate, glucose, pyruvate, and glycerol and the lactate/pyruvate ratio (L/P ratio) was calculated. There were no procedure-related complications. Six patients had a... Esophagus journals http://www.medworm.com/rss/comments.php?id=2277419 Wed, 18 Mar 2009 06:49:47 +0100 2277419 http://www.medworm.com/index.php?rid=2277418&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg50u7809506454v1%2F Abstract  Salvage surgery is one important therapeutic option after locoregional failure of definitive chemoradiotherapy (dCRT) in patients with advanced or recurrent esophageal carcinoma. We have performed cervical lymph node dissection as a salvage surgery after chemoradiotherapy in a patient with recurrent esophageal carcinoma. A 54-year-old Japanese man was admitted to our hospital because of multiple lymph node metastases after endoscopic submucosal dissection (ESD) for early-stage esophageal carcinoma. The patient underwent a circumferential ESD of early-stage esophageal carcinoma in another hospital. The esophageal carcinoma, measuring 75 × 60 mm in size, was a superficial spreading type located in the middle portion of the thoracic esophagus. Histology of the resec... Esophagus journals http://www.medworm.com/rss/comments.php?id=2277418 Wed, 18 Mar 2009 06:49:47 +0100 2277418 http://www.medworm.com/index.php?rid=2277421&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff7r121x021536277%2F Content Type Journal ArticleCategory Special ArticleDOI 10.1007/s10388-009-0169-0Authors Japan Esophageal Society, Sun-city Inohana B 3-2-4 Inohana, Chuo-ku Chiba 260-0856 Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 6 Journal Issue Volume 6, Number 1 / March, 2009 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=2277421 Wed, 18 Mar 2009 06:49:46 +0100 2277421 http://www.medworm.com/index.php?rid=2277420&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ffn75702822876740%2F Content Type Journal ArticleCategory Special ArticleDOI 10.1007/s10388-009-0185-0Authors Hiroko Ide, Sun-city Inohana B Japan Esophageal Society 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanSoji Ozawa, Sun-city Inohana B Japan Esophageal Society 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanHisahiro Matsubara, Sun-city Inohana B Japan Esophageal Society 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanTakao Saito, Sun-city Inohana B Japan Esophageal Society 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanMasayuki Shinoda, Sun-city Inohana B Japan Esophageal Society 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanYuji Tachimori, Sun-city Inohana B Japan Esophageal Society 3-2-4 Inohana, Chuo-ku Chiba 260-0856 JapanOtsuo Tanaka, Sun-city Inohana B Japan Esophageal Society 3-2-4 Inohana, Chuo-ku Chiba 260-085... Esophagus journals http://www.medworm.com/rss/comments.php?id=2277420 Wed, 18 Mar 2009 06:49:46 +0100 2277420 http://www.medworm.com/index.php?rid=2277422&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff65176rr456r4w2j%2F We report a case of a 74-year-old woman with an esophageal gastrointestinal stromal tumor (GIST). Endoscopic examination suggested a submucosal tumor in the middle-lower thoracic esophagus. Computed tomography showed a solid mass 95 × 56 × 44 mm in size, suggesting an esophageal mesenchymal tumor. Endoscopic ultrasonography-guided fine-needle aspiration biopsy was positive for c-kit and CD34, and negative for both S-100 and desmin, on immunohistochemical examination, confirming this to be a GIST. The patient underwent transthoracic esophagectomy with esophageal reconstruction using a gastric tube through the subcutaneous route. The tumor was completely resected, and there was no lymph node metastasis. The pathological examination confirmed the tumor to be at high risk for recurrenc... Esophagus journals http://www.medworm.com/rss/comments.php?id=2277422 Wed, 18 Mar 2009 06:49:45 +0100 2277422 http://www.medworm.com/index.php?rid=2277423&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7g21n67k10u5q118%2F Content Type Journal ArticleCategory Case AtlasDOI 10.1007/s10388-009-0184-1Authors Tsuneo Oyama, Saku Central Hospital Department of Gastroenterology 197 Usuda, Saku Nagano 384-0301 JapanYoko Kitamura, Saku Central Hospital Department of Gastroenterology 197 Usuda, Saku Nagano 384-0301 JapanAkiko Takahashi, Saku Central Hospital Department of Gastroenterology 197 Usuda, Saku Nagano 384-0301 JapanAkihisa Tomori, Saku Central Hospital Department of Gastroenterology 197 Usuda, Saku Nagano 384-0301 JapanKinich Hotta, Saku Central Hospital Department of Gastroenterology 197 Usuda, Saku Nagano 384-0301 Japan Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 6 Journal Issue Volume 6, Number 1 / March, 2009 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=2277423 Wed, 18 Mar 2009 06:49:44 +0100 2277423 http://www.medworm.com/index.php?rid=2051627&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw5862537l2734062%2F Abstract  An 80-year-old man presented with dysphagia after surgery for a hepatic tumor. In the postoperative period, he suffered from emesis and thereafter experienced dysphagia when taking a solid meal. The cause of his dysphagia was a benign lower esophageal stricture that had not been detected during preoperative examinations. Conservative treatment involving balloon dilatation was not effective, and the patient finally underwent a lower esophagectomy with reconstruction of the jejunum interposition from a left thoraco-abdominal approach. Based on his clinical manifestations, pathological findings, and published reports, we suggested that he suffered an incomplete esophageal perforation after emesis that led to esophageal stricture as a result of fibrosis of the esophag... Esophagus journals http://www.medworm.com/rss/comments.php?id=2051627 Thu, 18 Dec 2008 09:34:39 +0100 2051627 http://www.medworm.com/index.php?rid=2051626&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn0k7w743p6434002%2F Abstract  Perforation of the esophagus during endoscopic therapy is a severe complicati1on. Nonetheless, almost all perforations made during endoscopic submucosal dissection can be treated conservatively because their early diagnosis, the good condition of the patient, and their small size enables them to be closed with endoscopic clips. If inflammation around the esophagus progresses to mediastinitis, however, surgical management such as debridement and drainage should be applied without delay. Here we report three cases of esophageal perforation during endoscopic submucosal dissection that were successfully treated: in case 1, by drainage of the mediastinal abscess under thoracoscopy; in case 2, by mediastinal drainage from the cervix; and in case 3, by application of end... Esophagus journals http://www.medworm.com/rss/comments.php?id=2051626 Thu, 18 Dec 2008 09:34:39 +0100 2051626 http://www.medworm.com/index.php?rid=2051625&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7377676984207056%2F Conclusions  EoE represents a immune-mediated disease of undetermined pathogenesis. Natural history studies as well as prospective therapeutic trials will be critical to defining future treatment strategies. Content Type Journal ArticleCategory Congress Report: Invited LectureDOI 10.1007/s10388-008-0172-xAuthors Alex Straumann, Kantonsspital Olten Department of Gastroenterology Roemerstrasse 7 4600 Olten Switzerland Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 5 Journal Issue Volume 5, Number 4 / December, 2008 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=2051625 Thu, 18 Dec 2008 09:34:39 +0100 2051625 http://www.medworm.com/index.php?rid=2051624&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff12521611740t2p0%2F We report a patient with synchronous gastrointestinal stromal tumors (GISTs) of the stomach and esophagus. The gastric GIST was larger than that in the esophagus, and no direct connection between the two lesions was seen microscopically. Based on molecular analysis, both lesions had the same c-kit mutation on exon 11, with deletion of codon 557–558. Analysis of normal gastric tissue showed no mutations. The gastric GIST was the primary lesion, and the esophageal tumor was thought to suggest a hematogenous metastasis. A liver metastasis in S6 appeared 6 months after surgery. Imatinib mesylate has been an effective treatment for liver metastasis at follow-up of 2 years. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10388-008-0175-7Authors Yasunao Ishiguro, Jichi Me... Esophagus journals http://www.medworm.com/rss/comments.php?id=2051624 Thu, 18 Dec 2008 09:34:39 +0100 2051624 http://www.medworm.com/index.php?rid=2051631&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu531p63311522885%2F Abstract  There are innumerable contributions of Japanese doctors, especially Japanese pathologists, to the practice of modern gastrointestinal pathology. Among these are the basic descriptions and definitions of the most important gastric polyps, the identification of the duplicated muscularis mucosae in Barrett’s esophagus, the discovery of the minute or seedling leiomyomas in both muscularis mucosae and propria, and the first recognition of the importance of the c-kit gene and its protein product in the evolution of gastrointestinal stromal tumors and in defining the cells that make up these tumors. There are also areas of disagreement between Japanese and Western pathologists, particularly about whether invasive growth is a requirement for the diagnosis of carcinoma in... Esophagus journals http://www.medworm.com/rss/comments.php?id=2051631 Thu, 18 Dec 2008 09:34:38 +0100 2051631 http://www.medworm.com/index.php?rid=2051630&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc7w1436q12617203%2F Abstract  In the United States, Barrett’s mucosa is defined as having an endoscopic change that looks like columnar mucosa in the lower esophagus and goblet cells in a biopsy from that endoscopic abnormality. This is not a universally accepted definition. In both Japan and the United Kingdom, the endoscopic change is still required, but any columnar mucosa, whether or not it has goblet cells, is adequate for the Barrett’s diagnosis. This difference of opinion probably does not affect patient care, because the American definition seems to work well from a clinical standpoint in the United States, while the Japanese/British definition works well clinically in those countries. The neoplastic complications of Barrett’s mucosa, the dysplasias and carcinomas, are diagnosed ... Esophagus journals http://www.medworm.com/rss/comments.php?id=2051630 Thu, 18 Dec 2008 09:34:38 +0100 2051630 http://www.medworm.com/index.php?rid=2051629&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5712824165k03x41%2F We report a case of a 69-year-old man who was diagnosed to have granulocyte colony-stimulating factor (G-CSF)-producing esophageal squamous cell carcinoma, based on a histological examination of endoscopic biopsy specimens. A high serum level of leukocytes and G-CSF was noted. Moreover, immunohistochemical examination revealed that the tumor cells were positive for antibodies against G-CSF. Palliative radiation therapy was performed because of existing distant metastasis at the time of presentation, and the patient died of tumor progression 7 months after the initial diagnosis. To the best of our knowledge, only five cases with G-CSF-producing squamous cell carcinoma have been described in the English literature, including our present case. Because many cytokines induced by G-CSF-pro... Esophagus journals http://www.medworm.com/rss/comments.php?id=2051629 Thu, 18 Dec 2008 09:34:38 +0100 2051629 http://www.medworm.com/index.php?rid=2051628&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5m11361161123787%2F Content Type Journal ArticleCategory Congress Report: SummariesDOI 10.1007/s10388-008-0170-z Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 5 Journal Issue Volume 5, Number 4 / December, 2008 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=2051628 Thu, 18 Dec 2008 09:34:38 +0100 2051628 http://www.medworm.com/index.php?rid=2051633&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft62051043601524m%2F Content Type Journal ArticleCategory Case AtlasDOI 10.1007/s10388-008-0168-6 Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 5 Journal Issue Volume 5, Number 4 / December, 2008 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=2051633 Thu, 18 Dec 2008 09:34:37 +0100 2051633 http://www.medworm.com/index.php?rid=2051632&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbp8864un0q4u87l6%2F Abstract  A diverticulum in the lower third of the esophagus is rare. A 62-year-old woman presented with symptoms of dysphagia and regurgitation associated with recurrent aspiration. Endoscopic examination disclosed a large epiphrenic diverticulum, for which esophagoscopy-guided thoracoscopic surgery was performed. The postoperative course was uneventful. It is proposed that this method could be a possible alternative to the standard classical thoracotomy approach for a large epiphrenic diverticulum of the esophagus. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10388-008-0176-6Authors Masao Miyashita, Nippon Medical School Division of Gastroenterological, General, Breast and Transplantation Surgery, Department of Surgery 1-1-5 Sendagi, Bunkyo-ku Tokyo 113-... Esophagus journals http://www.medworm.com/rss/comments.php?id=2051632 Thu, 18 Dec 2008 09:34:37 +0100 2051632 http://www.medworm.com/index.php?rid=1810984&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn1k30575607h3152%2F Conclusions  Our surgical attempts to avoid leaks of esophagogastrostomy were entirely successful. An intrathoracic anastomosis combined with an antireflux procedure was not advantageous for the incidence of reflux esophagitis compared to cervical anastomosis, but it minimized the effects of anastomotic height on the development of reflux esophagitis. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-008-0165-9Authors Satoshi Aiko, National Defense Medical College Department of Surgery II 3-2 Namiki, Tokorozawa Saitama 359-8513 JapanYutaka Yoshizumi, National Defense Medical College Department of Surgery II 3-2 Namiki, Tokorozawa Saitama 359-8513 JapanHitoshi Ogawa, National Defense Medical College Department of Surgery II 3-2 Namiki, Tokorozawa S... Esophagus journals http://www.medworm.com/rss/comments.php?id=1810984 Thu, 18 Sep 2008 06:49:26 +0100 1810984 http://www.medworm.com/index.php?rid=1810986&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm24143p23657j18v%2F Conclusions  Elderly patients obtained similar therapeutic benefits from esophagectomy as did nonelderly patients through careful management of comorbid disease and good perioperative care. Also, nonsurgical treatment is a useful treatment option for elderly patients. A well-designed randomized trial, of surgical versus nonsurgical treatment, should be conducted in the elderly to clarify this concern. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10388-008-0159-7Authors Ryo Takagawa, Yokohama City University Department of Surgery, Gastroenterological Center 4-57 Urafune-cho, Minami-ku Yokohama 232-0024 JapanChikara Kunisaki, Yokohama City University Department of Surgery, Gastroenterological Center 4-57 Urafune-cho, Minami-ku Yokohama 232-0024 Japa... Esophagus journals http://www.medworm.com/rss/comments.php?id=1810986 Thu, 18 Sep 2008 06:49:25 +0100 1810986 http://www.medworm.com/index.php?rid=1810985&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6511n60963655n2x%2F Content Type Journal ArticleCategory Special ArticleDOI 10.1007/s10388-008-0158-8Authors Hiroyuki KuwanoYasumasa NishimuraAtsushi OhtsuHiroyuki KatoYuko KitagawaSetsuo TamaiYasushi TohHisahiro Matsubara Journal EsophagusOnline ISSN 1612-9067Print ISSN 1612-9059 Journal Volume Volume 5 Journal Issue Volume 5, Number 3 / September, 2008 (Source: Esophagus) Esophagus journals http://www.medworm.com/rss/comments.php?id=1810985 Thu, 18 Sep 2008 06:49:25 +0100 1810985 http://www.medworm.com/index.php?rid=1810989&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc36u2020p7r62470%2F Abstract  Spontaneous esophageal rupture is a rare disease, and the diagnosis and treatment have not been fully established. Herein we present a 55-year-old man with spontaneous esophageal rupture who was successfully treated using simple suture closure, drainage, and intraoperative percutaneous endoscopic gastrostomy. He was brought to the emergency room after vomiting gastric contents and blood and then experiencing chest pain. On admission, vital signs were normal. Emergency endoscopy was performed for hemostasis, and spontaneous esophageal rupture was diagnosed. As chest computed tomography suggested intrathoracic perforation, surgery was performed about 8 h after onset. Surgery confirmed spontaneous esophageal rupture localized in the mediastinum. Simple suture closure... Esophagus journals http://www.medworm.com/rss/comments.php?id=1810989 Thu, 18 Sep 2008 06:49:24 +0100 1810989 http://www.medworm.com/index.php?rid=1810988&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv467820786541423%2F We report a rare case of esophageal schwannoma with high uptake of radiotracer on [18F]fluoro-2-deoxy-d-glucose positron emission tomography (FDG-PET). A 37-year-old woman underwent surgery for sarcoma of the uterus and received general PET examination for postoperative follow-up, which revealed high uptake at the thoracic esophagus. Esophagography, esophageal endoscopy, endoscopic ultrasonography, and computed tomography (CT) scan confirmed a submucosal tumor, about 20 mm in diameter, in the right wall of the upper thoracic esophagus. We performed thoracoscopic enucleation with the preoperative diagnosis of esophageal leiomyoma or gastrointestinal stromal tumor (GIST). Histopathological examination showed a trabecular arrangement of spindle cells and no evidence of mitosis. Immunohis... Esophagus journals http://www.medworm.com/rss/comments.php?id=1810988 Thu, 18 Sep 2008 06:49:24 +0100 1810988 http://www.medworm.com/index.php?rid=1810987&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5644653047543632%2F Abstract  A 51-year-old man was admitted to the hospital for dysphagia, pyrexia, and leukocytosis. The serum level of granulocyte-colony stimulating factor (G-CSF) was elevated. Barium esophagography and endoscopy revealed a polypoid tumor in the middle portion of the esophagus. After an esophagectomy, the leukocyte count and serum G-CSF level normalized. The pathological diagnosis was carcinosarcoma of the esophagus with two components: namely, squamous cell carcinoma and sarcoma. Moreover, cancer cells were positive for G-CSF antibody. These findings confirmed that the esophageal carcinosarcoma in this case was a G-CSF-producing tumor. Although a G-CSF-producing esophageal carcinosarcoma is very rare, this disease should be considered when a patient has symptoms such as l... Esophagus journals http://www.medworm.com/rss/comments.php?id=1810987 Thu, 18 Sep 2008 06:49:24 +0100 1810987 http://www.medworm.com/index.php?rid=1810992&cid=s_33411_17_f&fid=33411&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbm12142x16843131%2F We report herein on two resected cases of esophageal leiomyoma preoperatively diagnosed accurately with endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB). The first patient, a 34-year-old man, had complained of dysphagia. Following EUS-FNAB, the pathological diagnosis was leiomyoma. Esophagectomy and reconstruction with a gastric tube were performed because the tumor had almost completely encircled the esophageal wall. The second patient, a 60-year-old woman, had complained of dysphagia. Following EUS-FNAB, the pathological diagnosis was leiomyoma. Enucleation of the tumor was performed because the tumor was not located in the entire circumference of the esophageal wall. The postoperative course of both patients was uneventful, and the final pathological diagnosi... Esophagus journals http://www.medworm.com/rss/comments.php?id=1810992 Thu, 18 Sep 2008 06:49:23 +0100 1810992