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Management of Esophageal Cancer

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Abstract

The number of new cases of esophageal cancer in the United States in 2000 likely will exceed the 12,000 annually recorded in previous years. Although two histologic subtypes exist, the incidence of adenocarcinoma of the distal esophagus in the last two decades has been increasing dramatically throughout North America and Europe.1–3 The primary risk factor is chronic heartburn leading to a sequence of esophagitis, Barrett’s esophagus, and ultimately adenocarcinoma. The overall 5-year survival rate is a disappointing 5% to 10%. However, in patients who present early in the course of the disease where the tumor is confined solely to the esophagus, the 5-year survival can be as high as 85%, thus emphasizing the importance of accurate staging at the initial evaluation.4

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References

  1. Yang P, Davis S. Incidence of cancer of the esophagus in the US by histologic type. Cancer 1988; 61: 612–617.

    Article  PubMed  CAS  Google Scholar 

  2. Blot W, Devesa S, Kneller R, et al. Rising incidence of adenocarcinoma of the esophagus and gastric cardia. JAMA 1991; 265: 1287–1289.

    Article  PubMed  CAS  Google Scholar 

  3. Moyana T, Janoski M. Recent trends in the epidemiology of esophageal cancer: comparison of epidermoid and adenocarcinomas. Ann Clin Lab Sei 1996; 26: 480–486.

    CAS  Google Scholar 

  4. Nigro J, DeMeester S, Hagen J, et al. Node status in transmural esophageal adenocarcinoma and outcome after en bloc esophagectomy. J Thorac Cardiovasc Surg 1999; 117: 960–968.

    Article  PubMed  CAS  Google Scholar 

  5. Luketich J, Schauer P, Meitzer C, et al. Role of positron emission tomography in staging the patient with esophageal cancer. Ann Thorac Surg 1997; 64: 765–769.

    Article  PubMed  CAS  Google Scholar 

  6. Luketich J, Meehan M, Schauer P, et al. Minimally Invasive Surgical Staging for Esophageal Cancer (abstract). San Antonio, TX: SAGES, 1999.

    Google Scholar 

  7. Luketich J, Freidman D, Weigel T, et al. Evaluation of distant metastases in esophageal cancer: 100 consecutive PET scans. Ann Thorac Surg 1999; 68: 1133–1137.

    Article  PubMed  CAS  Google Scholar 

  8. Luketich J, Schauer P, Landreneau R, et al. Minimally invasive surgical staging is superior to endoscopic ultrasound in detecting lymph node metastases in esophageal cancer. J Thorac Cardiovasc Surg 1997; 114: 817–823.

    Article  PubMed  CAS  Google Scholar 

  9. Krasna M, Flowers J, Attar S, et al. Combined thoracoscopic/laparoscopic staging of esophageal cancer. J Thorac Cardiovasc Surg 1996;111:800–806; discussion 806–807.

    Google Scholar 

  10. Nguyen N, Luketich J. The terminal patient: palliation of dysphagia in advanced esophageal cancer: In: Carrau R, Murry T, eds. Comprehensive Management of Swallowing Disorders. San Diego, London: Singular Publishers Group, 1999: 377–381.

    Google Scholar 

  11. Maley R, Luketich J. Esophagectomy for swallowing disorders. In: Carrau R, Murry T, eds. Comprehensive Management of Swallowing Disorders. San Diego, London: Singular Publishers Group, 1999: 333–336.

    Google Scholar 

  12. Lightdale C, Heier S, Marcon N, et al. Photo-dynamic therapy with porfimer sodium versus thermal ablation therapy with Nd:YAG for palliation of esophageal cancer: a multi-center randomized trial. Gastrointest Endosc 1995; 42: 507–512.

    Article  PubMed  CAS  Google Scholar 

  13. Luketich J, Nguyen N, Weigel T, et al. Photo-dynamic therapy for treatment of malignant dysphagia. Surg Laparosc Endosc Percutaneous Tech 1999; 9: 171–175.

    CAS  Google Scholar 

  14. Nguyen N, Churma S, Luketich J, et al. Endoscopic Photodynamic Therapy for Esophagus Cancer (abstract.) San Antonio, TX: SAGES, 1999.

    Google Scholar 

  15. Luketich JD, Nguyen NT, Keenan RJ, et al. The Efficacy of Expandable Metal Stents for Malignant Esophageal Obstruction. A Single Institution Experience (abstract). Boston: America College of Gastroenteology, 1998.

    Google Scholar 

  16. Millikan K, Silverstein J, Hart V, et al. A 15-year review of esophagectomy for carcinoma of the esophagus and cardia. Arch Surg 1995; 130: 617–624.

    Article  PubMed  CAS  Google Scholar 

  17. Patti M, Corvera C, Glasgow R, Way L. A hospital’s annual rate of esophagectomy influences the operative mortality rate. J Gastrointest Surg 1998; 2: 186–192.

    Article  PubMed  CAS  Google Scholar 

  18. Luketich J, Schauer P, Urso K, et al. Future directions in esophageal cancer. Chest 1998; 113: 120S - 122S.

    Article  PubMed  CAS  Google Scholar 

  19. Akaishi T, Kaneda I, Higuchi N, et al. Thoracoscope en bloc total esophagectomy with vertical mediastinal lymphadenectomy. J Thorac Cardio-vasc Surg 1996; 112: 1533–1541.

    Article  CAS  Google Scholar 

  20. Dexter S, Martin I, McMahon M. Radical thora-coscopic esophagectomy for cancer. Surg Endosc 1996; 10: 147–215.

    Article  PubMed  CAS  Google Scholar 

  21. DePaula A, Hashiba K, Ferreira E, et al. Transhiatal approach for esophagectomy. In: ToouliJ, Gossot D, Hunter J, eds. Endosurgery. New York: Churchill Livingstone, 1996; 293–299.

    Google Scholar 

  22. Swanstrom L, Hansen P. Laparoscopic total esophagectomy. Arch Surg 1997; 132: 943–949.

    Article  PubMed  CAS  Google Scholar 

  23. Luketich J, Nguyen N, Schauer P. Laparoscopic trans-hiatal esophagectomy for Barrett’s esophagus with high-grade dysplasia. JSLS 1998; 2: 75–77.

    PubMed  CAS  Google Scholar 

  24. Luketich J, Nguyen N, Weigel T, et al. The role of laparoscopy and video assisted thoracoscopy in esophagectomy (abstract). Surg Endosc 1998; 12: 554.

    Google Scholar 

  25. Nguyen N, Schauer P, Luketich J. Combined laparoscopic and thoracoscopic approach to esophagectomy. J Am Coll Surg 1999; 188: 328–332.

    Article  PubMed  CAS  Google Scholar 

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© 2001 Springer Science+Business Media New York

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Luketich, J.D., Schauer, P.R. (2001). Management of Esophageal Cancer. In: Greene, F.L., Heniford, B.T. (eds) Minimally Invasive Cancer Management. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3444-7_21

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  • DOI: https://doi.org/10.1007/978-1-4757-3444-7_21

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-3446-1

  • Online ISBN: 978-1-4757-3444-7

  • eBook Packages: Springer Book Archive

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