The concept of oligometastatic disease (OMD) implies that radical local treatment for OMD (e.g., metastasectomy or stereotactic body radiotherapy [SBRT]) can improve overall survival (OS). 1,2 This benefit of local treatment for OMD might be explained by the ''seed and soil'' hypothesis. 3 This hypothesis suggests that metastatic spread is the result of the interaction between tumor cells and the target organ. 3 According to this concept, certain tumors have a predisposition for a particular organ only because of this selective interaction. 3 This process might explain why patients experience a limited number of metastases in a certain organ only and why radical local treatment to that organ improves OS.Recent randomized controlled trials (RCTs) have indeed shown that local treatment of OMD improves survival outcomes for patients with prostate, colorectal, breast, and non-small cell lung cancer. 4-6 However, patients with esophagogastric cancer were not included in these RCTs. Therefore, the optimal management for patients with oligometastatic esophagogastric cancer is unclear.