Langenbecks Arch Surg (2017) 402:1153–1158 DOI 10.1007/s00423-017-1610-9 REVIEW ARTICLE Surgical approaches to adenocarcinoma of the gastroesophageal junction: the Siewert II conundrum 1 1 1 1 Andrew M. Brown & Danica N. Giugliano & Adam C. Berger & Michael J. Pucci & Francesco Palazzo Received: 12 July 2017 /Accepted: 19 July 2017 /Published online: 12 August 2017 Springer-Verlag GmbH Germany 2017 Abstract Keywords Gastroesophageal junction adenocarcinoma . . Background The Siewert classification system for gastro- Siewert classification Esophagectomy Gastrectomy esophageal junction adenocarcinoma has provided morpho- logical and topographical information to help guide surgical decision-making. Evidence has shown that Siewert I and III Introduction tumors are distinct entities with differing epidemiologic and histologic characteristics and distinct patterns of disease pro- While there has been a decline in the incidence of adenocar- gression, requiring different treatment. Siewert II tumors share cinoma of the distal stomach, adenocarcinoma of the distal some of the characteristics of type I and III lesions, and the esophagus, gastroesophageal (GE) junction, and gastric cardia surgical approach is not universally agreed upon. Appropriate have increased by 4–10% per year among males in the USA surgical options include transthoracic esophagogastrectomy, since 1976 [1, 2]. The rise of adenocarcinoma of the
Langenbeck's Archives of Surgery – Springer Journals
Published: Aug 12, 2017
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