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. 1988 Sep;208(3):354–361. doi: 10.1097/00000658-198809000-00013

Limited esophagogastrectomy for carcinoma of the cardia. Indications, technique, and results.

F H Ellis Jr 1, S P Gibb 1, E Watkins Jr 1
PMCID: PMC1493670  PMID: 2458703

Abstract

Between 1970 and 1988, 149 patients with carcinoma of the cardia were operated on at the Lahey Clinic. Of these patients, 127 (85%) underwent resection; 23 (18.1%) were of a palliative nature. More than 75% had Stage III and IV disease. One patient (0.8%) died within 30 days of the operation of a myocardial infarct. Two other patients failed to leave the hospital. Of 25 postoperative complications, 14 (11%) were considered major. Palliation of dysphagia was successful in 80% of patients. The actuarial 5-year survival rate was 22.4%. Of patients with Stage I and II disease, 36.6% survived for 5 years, and of patients with Stage III disease, 22.5% survived. No patient with Stage IV disease lived for longer than 1 year. It is concluded that limited esophagogastrectomy can be performed in most patients with carcinoma of the cardia with low mortality and morbidity and with satisfactory long-term survival.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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