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Surgical treatment of esophageal carcinoma after distal partial gastrectomy: Case report and literature review


 Department of Thoracic Surgery, Fu Xing Hospital of Capital Medical University, Beijing 100038, China

Correspondence Address:
Su Chen,
Department of Thoracic Surgery, Fu Xing Hospital of Capital Medical University, A 20# Street, Fuxingmenwai District, Xicheng, Beijing 100038
China
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Source of Support: None, Conflict of Interest: None

The objective of the study was to highlight the significance of surgical treatment for esophageal carcinoma after distal gastrectomy and provide suitable surgical options. A patient with esophageal carcinoma and previous distal partial gastrectomy was treated by replacing the esophagus with remnant stomach and moving the spleen into the thoracic cavity. We then systematically reviewed the literature on the treatment of such conditions. Postoperative recovery went well. During the 2-year follow-up, the patient did not complain any discomfort and had no signs of metastasis or recurrence. For esophageal carcinoma patients who have undergone distal gastrectomy, surgery should remain an option. For patients whose carcinoma is in the lower part of the esophagus or who are frail but had an early diagnosis, surgery to replace the esophagus with remnant stomach and relocation of the spleen into the thoracic cavity should be considered.


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    -  Chen S
    -  Huang N
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