| Theme |
Diagnosis and Treatment of Barrett's Esophagus : up-to-date |
| Title |
Surgical Treatment for Barrett's Adenocarcinoma |
| Author |
Hideo Shimada |
Department of Surgery, Tokai University Oiso Hospital |
| Author |
Takayuki Nishi |
Department of Surgery, Tokai University Oiso Hospital |
| Author |
Miho Nitta |
Department of Surgery, Tokai University Oiso Hospital |
| Author |
Osamu Chino |
Department of Surgery, Tokai University Tokyo Hospital |
| Author |
Soji Ozawa |
Department of Surgery, Tokai University School of Medicine |
| Author |
Hiroyasu Makuuchi |
Department of Surgery, Tokai University School of Medicine |
| [ Summary ] |
The treatment strategy for Barrett's adenocarcinoma is determined by depth of tumor invasion, location of the tumor, length of the Barrett's esophagus and pattern of lymph node metastasis. Generally, Barrett's adenocarcinoma is treated the same way as esophageal squamous cell carcinoma or adenocarcinoma of the gastro-esophageal junction. There is no international consensus concerning the operative procedure or extent of lymph node dissection for Barrett's adenocarcinoma. If Barrett's adenocarcinoma is observed, cervical lymph nodes may test positive in advanced cases. In such cases, esophagagectomy with three-field lymph node dissection may be indicated along with neoadjuvant therapy. |