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Conference Paper: Surgical outcome of esophagogastric junctional cancer: Data from a tertiary referral center in Hong Kong

TitleSurgical outcome of esophagogastric junctional cancer: Data from a tertiary referral center in Hong Kong
Authors
Issue Date2017
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/gastro
Citation
The Society for Surgery of the Alimentary Tract 58th Annual Meeting in Digestive Disease Week (DDW) 2017, Chicago, USA, 6-9 May 2017. In Gastroenterology, 2017, v. 152 n. 5, Suppl. 1, p. S1265, abstract no. Mo1056 How to Cite?
AbstractIntroduction: There are many controversies on the classification, staging system and treatment strategy for adenocarcinoma of the esophagogastric junction (EGJ). Amidst westernization of lifestyle, EGJ cancer is gaining interest in Asia. There is not much data from the East on this disease entity. Method: From 2003 to 2013, patients diagnosed to have adenocarcinoma of EGJ and who underwent surgical resection were studied. Patient demographics and surgical outcomes including post-operative morbidity and survival were compared. Patients were grouped based on the Siewert classification system and the survival of each type was compared. Results: EGJ cancers were diagnosed in 123 patients. The median age was 71 yrs (ranged 40-91) and 100 of them were males (81.3%). Among these patients, 108 (87.8%) underwent. Curative (R0) resection was achieved in 89 patients (82.4%). Types I, II and III tumors were diagnosed in 12, 63 and 14 patients respectively. Demographic data of subgroups were comparable. Median follow-up time was 22 months (1-154 months). The choice of resection was determined by the location and extent of tumor (Table 1). Nine patients had surgical complications including anastomotic leak n=5 (5.6%), gastric conduit ischemia n=1 (1.1%), chylothorax n=1 (1.1%) and vocal cord palsy n=2 (1 transient, 1 permanent, 2.2%). There was no post-operative mortality. Overall median survival was 43 months (3-year survival = 78.9%). The overall survival of types I to III patients were 71, 43 and 21 months respectively. Conclusion: There is an overall trend of poorer survival in type III EGJ cancers after curative (R0) resection.
DescriptionSSAT Poster Session - Esophageal Diseases II - abstract no. Mo1056
link_to_subscribed_fulltext
Persistent Identifierhttp://hdl.handle.net/10722/243416
ISSN
2019 Impact Factor: 17.373
2015 SCImago Journal Rankings: 7.170
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, C-
dc.contributor.authorTong, KHD-
dc.contributor.authorChan, KKD-
dc.contributor.authorWong, YHI-
dc.contributor.authorChan, SY-
dc.contributor.authorLaw, TT-
dc.contributor.authorLaw, SYK-
dc.date.accessioned2017-08-25T02:54:33Z-
dc.date.available2017-08-25T02:54:33Z-
dc.date.issued2017-
dc.identifier.citationThe Society for Surgery of the Alimentary Tract 58th Annual Meeting in Digestive Disease Week (DDW) 2017, Chicago, USA, 6-9 May 2017. In Gastroenterology, 2017, v. 152 n. 5, Suppl. 1, p. S1265, abstract no. Mo1056-
dc.identifier.issn0016-5085-
dc.identifier.urihttp://hdl.handle.net/10722/243416-
dc.descriptionSSAT Poster Session - Esophageal Diseases II - abstract no. Mo1056-
dc.descriptionlink_to_subscribed_fulltext-
dc.description.abstractIntroduction: There are many controversies on the classification, staging system and treatment strategy for adenocarcinoma of the esophagogastric junction (EGJ). Amidst westernization of lifestyle, EGJ cancer is gaining interest in Asia. There is not much data from the East on this disease entity. Method: From 2003 to 2013, patients diagnosed to have adenocarcinoma of EGJ and who underwent surgical resection were studied. Patient demographics and surgical outcomes including post-operative morbidity and survival were compared. Patients were grouped based on the Siewert classification system and the survival of each type was compared. Results: EGJ cancers were diagnosed in 123 patients. The median age was 71 yrs (ranged 40-91) and 100 of them were males (81.3%). Among these patients, 108 (87.8%) underwent. Curative (R0) resection was achieved in 89 patients (82.4%). Types I, II and III tumors were diagnosed in 12, 63 and 14 patients respectively. Demographic data of subgroups were comparable. Median follow-up time was 22 months (1-154 months). The choice of resection was determined by the location and extent of tumor (Table 1). Nine patients had surgical complications including anastomotic leak n=5 (5.6%), gastric conduit ischemia n=1 (1.1%), chylothorax n=1 (1.1%) and vocal cord palsy n=2 (1 transient, 1 permanent, 2.2%). There was no post-operative mortality. Overall median survival was 43 months (3-year survival = 78.9%). The overall survival of types I to III patients were 71, 43 and 21 months respectively. Conclusion: There is an overall trend of poorer survival in type III EGJ cancers after curative (R0) resection.-
dc.languageeng-
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/gastro-
dc.relation.ispartofGastroenterology-
dc.relation.ispartofDigestive Diseases Week (DDW 2017): Society for Surgery of the Alimentary Tract (SSAT) 58th Annual Meeting-
dc.titleSurgical outcome of esophagogastric junctional cancer: Data from a tertiary referral center in Hong Kong-
dc.typeConference_Paper-
dc.identifier.emailTong, KHD: esodtong@hku.hk-
dc.identifier.emailChan, KKD: dkgenes@HKUCC-COM.hku.hk-
dc.identifier.emailWong, YHI: iyhwong@hku.hk-
dc.identifier.emailChan, SY: fsychan@hku.hk-
dc.identifier.emailLaw, SYK: slaw@hkucc.hku.hk-
dc.identifier.authorityTong, KHD=rp02281-
dc.identifier.authorityWong, YHI=rp02293-
dc.identifier.authorityLaw, SYK=rp00437-
dc.identifier.doi10.1016/S0016-5085(17)34216-6-
dc.identifier.hkuros275027-
dc.identifier.hkuros275167-
dc.identifier.volume152-
dc.identifier.issue5, Suppl. 1-
dc.identifier.spageS1265-
dc.identifier.epageS1265-
dc.identifier.isiWOS:000403140305212-
dc.publisher.placeUnited States-

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