Abstract:
:The effect of gastrectomy on the subsequent development of esophageal cancer was investigated, focusing on its multicentric occurrence. We retrospectively evaluated 28 patients who underwent subtotal esophagectomy for intrathoracic esophageal cancer between 1985 and 1999. They were divided into two groups according to whether or not they had previously undergone a gastrectomy: group 1, comprising 7 patients who had undergone gastrectomy and group 2, comprising 21 patients who had not. Clinical profiles of the patients were obtained from the medical records and the whole resected esophagus was histopathologically examined. The interval between gastrectomy and esophagectomy in group 1 was significantly shorter in the patients who had undergone gastrectomy for gastric cancer than in those who had undergone gastrectomy for a peptic ulcer, and also in the patients for whom anastomosis had been performed by Billroth I compared with Billroth II. The patients in group 1 were significantly younger than those in group 2. The multiple occurrence of esophageal cancer was found in 4 of 5 patients (80%) in group 1, and in 2 of 18 patients (11%) in group 2, with significantly higher frequency being seen in group 1. More than two coexisting cancer lesions apart from the primary tumor were detected in all four patients. Histological examination of all the coexisting cancer lesions showed well-differentiated squamous cell carcinoma confined within the superficial mucosal layer. No significant differences were noted in the location of the coexisting lesions between the oral and anal side of the primary tumors. Squamous dysplasia was randomly observed, especially around the cancer lesions. These findings suggest that gastrectomy precipitated subsequent chronic gastroesophageal reflux which in turn induced the development of squamous dysplasia and carcinoma at multiple locations in the esophagus.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Kitabayashi K,Nakano Y,Saito H,Ueno KI,Kita I,Takashima S,Kurose N,Nojima Tdoi
10.1007/s005950170067subject
Has Abstractpub_date
2001-01-01 00:00:00pages
670-4issue
8eissn
0941-1291issn
1436-2813pii
10.1007/s005950170067journal_volume
31pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract:PURPOSE:Adenosquamous carcinoma (ASC) of the pancreas is a rare malignancy, associated with a poor prognosis after surgical resection, with reported median survival times (MSTs) ranging from 4.4 to 13.1 months. We conducted this study to investigate the long-term outcomes of patients after the resection for ASC. METHO...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01807-8
更新日期:2019-10-01 00:00:00
abstract:PURPOSE:We attempted to identify the factors related to an early restoration of the exercise capacity after lung resection. METHODS:Major lung resection was performed in 164 patients. Exercise testing and spirometry were performed before surgery, and 2 weeks and 1 month afterward. During exercise, the maximum oxygen u...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4441-7
更新日期:2011-09-01 00:00:00
abstract::The improvement of heart function in a patient on hemodialysis with dilated cardiomyopathy by renal transplantation is herein reported. The patient was a 35-year-old woman. Hemodialysis had been initiated 3 months before, but she experienced difficulty with hemodialysis maintenance and exhibited congestive heart failu...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00308977
更新日期:1993-01-01 00:00:00
abstract::We describe herein the case of a 68-year-old man with malignant mesothelioma of the tunica vaginalis testis. The pathological diagnosis was based upon the clinical findings, gross and microscopic morphology, and special stains. Malignant mesothelioma is a rare tumor associated with asbestos exposure that can be effect...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950050654
更新日期:1999-01-01 00:00:00
abstract:PURPOSE:We designed an open-labeled, prospective, randomized, controlled clinical trial to test the efficacy of topical lanolin ointment (PureLan) and bovine type I collagen spray (Gelfix) in the treatment of childhood anal fissures. METHODS:Seventy-one children with acute anal fissure were divided randomly into three...
journal_title:Surgery today
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00595-009-4141-3
更新日期:2010-08-01 00:00:00
abstract:PURPOSE:Patients with Crohn's disease (CD) show a higher incidence of surgical site infections (SSIs) after bowel resection in comparison to other patient populations because CD patients commonly suffer from anemia, malnutrition, and immunosuppression. In comparison to conventional passive drainage, active drainage usi...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1549-z
更新日期:2018-01-01 00:00:00
abstract::We describe herein the unusual case of a 76-year-old woman who was diagnosed as having sigmoid colon cancer after presenting with complete rectal prolapse. The rectal prolapse was considered to have been caused by constipation accelerated by the colon cancer. The relationship between colorectal cancer and rectal prola...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02483019
更新日期:1999-01-01 00:00:00
abstract::Massive presacral bleeding is a severe complication during a resection of the rectum. The combination of oxidized cellulose and cyanoacrylate glue can quickly control presacral bleeding. This report presents nine cases since 2002 of presacral hemorrhage treated using this method. There was no recurrent bleeding during...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4012-y
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:This study was conducted to determine whether establishing the proximal resection line using India ink tattooing can ensure safe resection margins during totally laparoscopic distal gastrectomy. METHODS:This retrospective study included 81 patients who underwent totally laparoscopic distal gastrectomy for gast...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02057-9
更新日期:2021-01-01 00:00:00
abstract:PURPOSE:Ca(2+) channel blockers inhibit collagenase production and have a vasodilatatory effect. They also restrict the formation of ischemia-reperfusion induced free oxygen radicals. The aim of this study was to assess the effect of nifedipine on the healing of colonic anastomoses in a rat model. METHODS:Sixty Wistar...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2633-0
更新日期:2003-01-01 00:00:00
abstract::We report a rare case of gastric perforation due to a bulimic attack in a 17-year-old girl suffering from anorexia nervosa. She was admitted to our hospital with the chief complaint of abdominal pain following bulimia. Initially, her symptoms were reduced after drainage using a nasogastric tube. Eight hours later, how...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950050618
更新日期:2000-01-01 00:00:00
abstract::In order to establish a therapeutic approach for primary breast cancer of medial and central origin, we reviewed 183 patients who had been treated by one of the following three modalities at the Second Department of Surgery, Osaka University Medical School between January, 1965 and December, 1980. Group A (n = 70): st...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311336
更新日期:1992-01-01 00:00:00
abstract::Anastomotic leakage (AL) is a serious but not uncommon complication after colorectal surgery. We conducted this study to evaluate the effect of routine indocyanine green fluorescence angiography (ICG-FA) on reducing the AL rate after colorectal surgery. We identified all research articles about colorectal surgery usin...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-020-02195-0
更新日期:2021-01-11 00:00:00
abstract::Cytomegalovirus (CMV) colitis in the immunosuppressed patient is common and is usually self-limited by treatment consisting of intravenous anti-viral medications. However, in the immunocompetent patient, CMV colitis is extremely rare and is associated with a high mortality rate that approaches 32 % (Galiatsatos et al....
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-1033-y
更新日期:2015-05-01 00:00:00
abstract::During the fetal-neonatal period, a primary cardiac tumor may be completely asymptomatic and such tumors may be incidentally discovered by echocardiography. A four-hour-old male was diagnosed to have a cardiac tumor by post-natal echocardiography and was observed closely. Surgery was indicated immediately at the 3 wee...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0614-5
更新日期:2014-09-01 00:00:00
abstract:PURPOSES:To assess whether a video-assisted thoracoscopic surgery (VATS) procedure is superior to limited thoracotomy (LT) for segmentectomy; postoperative pain was compared between VATS-lobectomy (VATS-L) and LT-segmentectomy (LT-S). Widely opened anterolateral thoracotomy segmentectomy (WT-S) was used as a control. ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-015-1302-4
更新日期:2016-11-01 00:00:00
abstract::The present study was conducted on 78 patients, encountered over a 7-year period, who had a catheter-feeding jejunostomy placed at the time of thoracoabdominal esophagectomy for esophageal cancer. A broad-based attachment of the jejunal wall to the peritoneum at the place of entry of the catheter was used. Enteral nut...
journal_title:Surgery today
pub_type: 临床试验,杂志文章
doi:10.1007/BF02483009
更新日期:1999-01-01 00:00:00
abstract:PURPOSE:Proximal gastrectomy and lymph node dissection are often performed for T1 cancer of the gastric cardia; however, direct esophagogastrostomy is frequently complicated by reflux esophagitis. We describe a simple technique for preventing esophageal reflux and discuss its results. METHODS:This technique is indicat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3265-y
更新日期:2006-01-01 00:00:00
abstract::This report presents a rare case of intrahepatic cholangiocarcinoma (IHCC) arising 28 years after excision of a type IV-A congenital choledochal cyst. The patient underwent excision of a congenital choledochal cyst (Todani's type IV-A) at 12 years of age, with Roux-en-Y hepaticojejunostomy reconstruction. She received...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0387-2
更新日期:2014-02-01 00:00:00
abstract:PURPOSE:We evaluated the technical and oncological safety of laparoscopic multivisceral resection (MVR) in selected patients with locally advanced colon cancer (LACC). METHODS:We compared the clinical backgrounds, and short- and long-term outcomes of patients who underwent laparoscopic vs. those who underwent open MVR...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-01986-9
更新日期:2020-09-01 00:00:00
abstract::We herein present an example of an extended central bisegmentectomy in a patient with a large hepatocellular carcinoma. According to a magnetic resonance imaging study, the right hepatic vein was displaced and narrowed at its origin and a large inferior right hepatic vein was revealed. In this case, owing to the only ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02473403
更新日期:1994-01-01 00:00:00
abstract::We herein report a rare case of cardiac and abdominal aortic inflammatory pseudotumors (IPTs). A 64-year-old male presented with a loss of appetite, abdominal distension and general fatigue. A cardiac tumor was suspected on the basis of computed tomography scans. A needle biopsy was performed, but it did not lead to a...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0780-5
更新日期:2015-02-01 00:00:00
abstract::A 70-year-old man with systemic lupus erythematosus (SLE) was brought to our Emergency Department after the sudden onset of acute and severe abdominal pain. Physical examination revealed a tender and distended abdomen with guarding and rebound tenderness in the periumbilical region and the left upper quadrant. A plain...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-003-2653-9
更新日期:2004-01-01 00:00:00
abstract::Cytomegalovirus (CMV) infection is associated with significant morbidity and mortality in immunocompromised patients. In immunocompetent individuals, the infection is usually subclinical but it can sometimes be life threatening. We describe a case of fatal CMV proctitis in a 71-year-old man following an Ivor-Lewis eso...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3335-1
更新日期:2007-01-01 00:00:00
abstract::Situs inversus totalis refers to an inverted position of part or all of the viscera, which represents a mirror-image of the normal location, and it is a relatively rare condition that occurs in one in 4,000-8,000 people in Japan. We herein report a patient demonstrating a combination of situs inversus totalis, colon c...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-002-2567-y
更新日期:2003-01-01 00:00:00
abstract::Achieving complete dissection of the lymph nodes located at the roots of the left gastroepiploic vessels is difficult when distal gastrectomy is the surgical goal; firstly, because the short gastric vessels must be preserved to supply blood to the remnant stomach; and also, because the roots of the left gastroepiploic...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050320
更新日期:1998-01-01 00:00:00
abstract::From August 1986 to February 2000, three patients were given a pericardial-peritoneal window using a subxiphoidal approach, for pericardial effusion associated with chronic exudative pericarditis. Complete drainage without recurrence was achieved in two patients with a large pericardial-peritoneal window (4 cm diamete...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200064
更新日期:2002-01-01 00:00:00
abstract::Ghrelin was discovered as an intrinsic ligand for the growth hormone (GH)-secretagogue receptor (GHS-R) in 1999. The endogenous production of ghrelin occurs mainly in the stomach. Ghrelin has multiple functions; it has orexigenic action, stimulates GH secretion, has anti-inflammatory activities, stimulates gastrointes...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-014-1040-z
更新日期:2015-07-01 00:00:00
abstract::We developed a new technique for partial resection of the head of the pancreas with an end-to-side pancreaticoduodenostomy, while preserving the duodenum, the common bile duct, and the upper part of the head of the pancreas around the duct of Santorini. A resection of the inferior head of the pancreas was performed in...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311672
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:We evaluated the perioperative inflammatory mediators in a right hemicolectomy performed with single-incision laparoscopic surgery (SILS) and traditional multi-port laparoscopic surgery (MLS) to compare the postoperative inflammatory response and feasibility of SILS with that of MLS. METHODS:In this retrospect...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01777-x
更新日期:2019-07-01 00:00:00