Satisfactory long-term results after simultaneous resection of the esophagus, stomach and pancreas.

Langenbecks Arch Surg

Department of General Surgery, St Josef Hospital, Ruhr University Bochum, Bochum, Germany.

Published: March 2009

Purpose: Surgical procedures for esophageal cancer and chronic pancreatitis are demanding and still characterized by high morbidity and mortality. Cases of one-stage combined operations on the pancreas and esophagus with a long-term follow-up are rarely reported.

Materials And Methods: We present the case of a 54-year-old woman with a Barrett's carcinoma and an 8-year history of severe chronic pancreatitis complicated with multiple episodes of cholangitis and resistant to conservative treatment.

Results: After a successful one-stage operation consisting of esophagogastrectomy and pancreaticoduodenectomy, a 30-month disease-free follow-up with a good quality of life has been observed.

Conclusion: Complicated surgical procedures such as one-stage multiple organ resections may offer, in selected cases, satisfactory long-term results, provided that patients are treated at a high-volume center by a multidisciplinary team.

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http://dx.doi.org/10.1007/s00423-008-0397-0DOI Listing

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