Bypass laparoscopic procedure for palliation of esophageal cancer

Abstract

Esophageal cancer is a devastating disease with rapidly increasing incidence in Western countries. Dysphagia is the most common complication, causing severe malnutrition and reduced quality of life. A 69-year-old male with persistent esophageal cancer after radiation therapy was subjected to palliative by-pass surgery using a laparoscopic approach. Due to the advanced stage at diagnosis, palliative treatment was a more realistic option. Dysphagia is a most distressing symptom of this disease, causing malnutrition and reducing quality of life. The goal of palliation is to improve swallowing. The most common methods applied are endoscopic stenting, radiation therapy (external or brachytherapy), chemotherapy, yttrium-aluminum-garnet laser rechanneling or endoscopic dilatation. Palliative surgery is rarely proposed due to morbidity and complications. This paper demonstrates an update in the technique proposed by Postlethwait in 1979 for palliation of esophageal cancer.

Long noncoding RNA HAGLR acts as a microRNA‐143‐5p sponge to regulate epithelial‐mesenchymal transition and metastatic potential in esophageal cancer by regulating LAMP3

“…Esophageal cancer (EC) is a common gastrointestinal cancer, ranking as the sixth leading cause of cancerinduced deaths worldwide and the fourth in China (1,2). A key contributory factor in the high mortality of EC relates to the diagnosis of EC at an advanced stage with significant comorbidities (3). Lifestyles play a distinct role in the occurrence of the disease, with reports highlighting factors such as alcohol consumption, smoking, and genetic variants leading to an increased risk of EC (4,5).…”

Clinicopathological Characteristics and Survival Outcomes in Patients with Advanced Esophageal Squamous Cell Carcinoma Who Were Intraoperatively Diagnosed Non-Curative

“…There are no established criteria to appropriately determine whether curative resection can be performed after induction therapy in patients with locally advanced esophageal cancer. Our group previously reported that the preoperative SUVmax determined by 18F-FDG-PET (cut-off <4.7) was useful for predicting R0 resection after induction therapy for initially unresectable locally advanced esophageal cancer [22]. In the present study, the preoperative…”

“…It involves the creation of a gastric tube with the preservation of the right gastroepiploic vessels. The tube is then passed along a retrosternal path and end-to-side anastomosis using a circular stapler is performed with the cervical esophagus prepared earlier by left cervicotomy [22].…”

Laparoscopic-assisted Esophageal Bypass for T4b Esophageal Tumor as a Bridge to Definitive Therapy

“…Esophageal cancer is the eighth most common malignancy and the sixth leading cause of cancer mortality worldwide (1). The most common presenting symptom of esophageal cancer is dysphagia, leading to severe malnutrition and reduced quality of life (2). Esophagectomy is the mainstay in curative treatment for local and loco-regional disease (3).…”