| Theme | Barrett's Esophagus | |
|---|---|---|
| Title | Surgical Treatment of Barrett's Adenocarcinoma | |
| Publish Date | 2007/01 | |
| Author | Koji Kono | First Department of Surgery, Faculty of Medicine, University of Yamanashi |
| Author | Hidemitsu Sugai | First Department of Surgery, Faculty of Medicine, University of Yamanashi |
| Author | Hideki Fujii | First Department of Surgery, Faculty of Medicine, University of Yamanashi |
| [ Summary ] | To assess the surgical procedure such as extent of lymphadenectomy in the treatment of Barrett's adenocarcinoma, we evaluated our cases and literature-reported cases in Japan, with particular focus on lymph node metastasis. Endoscopic mucosal resection method is the first choice for mucosal cancer. Limited resection of the distal esophagus and esophago-gastric junction with regional lymphadenectomy is recommended for patients who have sm-minimum invasion of the differentiated type of adenocarcinoma with SSBE. Transthoracic en-bloc esophagectomy with two-field lymphadenectomy is recommended for patients who have sm-massive invasion of adenocarcinoma, sm invasion with LSBE or T 2-T 3 invasion. In order to develop surgical treatments aiming at curability and QOL, patients with Barrett's adenocarcinoma in Japan should be carefully followed-up on. |
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