A 69-year-old man was admitted to our hospital for treatment of gastric tube cancer detected by screening upper gastrointestinal endoscopy. Seven years previously, he had undergone subtotal esophagectomy for esophageal cancer with gastric pull-up via the retrosternal route. Contrast study revealed a filling defect in the distal part of the reconstructed gastric tube. Nasopharyngeal cancer was detected at the same time. After chemoradiotherapy for nasopharyngeal cancer, surgery was performed for gastric tube cancer. Because the radiation field included the anastomotic site of the pervious surgery, resection of the distal part of the gastric tube was considered. For this purpose, we intraoperatively evaluated blood and lymphatic flow along the gastric tube by using indocyanine green (ICG) fluorescence imaging. Submucosal ICG injection around the tumor revealed lymphatic flow localized around the right gastroepiploic artery. In addition, intravenous ICG injection revealed blood flow from the oral side of the gastric tube into the distal part. Based on this finding, we performed distal gastrectomy (resection of the distal part of the gastric tube) with Roux-en-Y reconstruction (gastro-jejunal anastomosis). The postoperative course was uneventful. On histological examination, the tumor was diagnosed as pT1b (SM) N0M0, pStage IA. Intraoperative evaluation of blood and lymphatic flow using ICG fluorescence imaging is useful during minimally invasive surgery for cancer in a reconstructed gastric tube.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Screening and identification of vascular endothelial cell targeting peptide in gastric cancer through novel integrated in vitro and in vivo strategy.
BMC Cancer
December 2024
Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, Guangdong, P.R. China.
Purpose: Antiangiogenesis therapy has become a hot field in cancer research. Given that tumor blood vessels often express specific markers related to angiogenesis, the study of these heterogeneous molecules in different tumor vessels holds promise for advancing anti-angiogenic therapy. Previously using phage display technology, we identified a targeting peptide named GX1 homing to gastric cancer vessels for the first time.
View Article and Find Full Text PDFConfirming gastric tube placement in neurocritical patients using the combined effects of end-tidal CO and pH testing: A prospective diagnostic study.
Intensive Crit Care Nurs
December 2024
Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, China. Electronic address:
Objective: To assess the predictive effects of end-tidal carbon dioxide partial pressure (PETCO) in combination with pH measurement in confirming gastric tube placement in neurologically critical patients.
Methods: This study included 105 patients with gastric tubes placed in the neurological intensive care unit of Henan Provincial People's Hospital between November 2023 and April 2024. By employing X-ray as a gold standard, we compared the predictive value of PETCO, pH testing, or PETCO in combination with pH measurement on the position of the tubes.
and : Potential Therapeutic Targets for Gastric Cancer.
Discov Med
December 2024
Department of Oncology, The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University, 213003 Changzhou, Jiangsu, China.
Background: Detecting and treating stomach cancer requires a comprehensive understanding of how gastric cancer develops and progresses. In this context, efforts have been made to elucidate the regulation of glutamine-fructose-6-phosphate transaminase 1 () and Lysine demethylase 4C () in gastric cancer.
Methods: Bioinformatics was utilized to predict the levels and correlation of and in gastric cancer, followed by determining their expressions via quantitative real-time polymerase chain reaction (qRT-PCR).
[Long-Term Survival in Esophagogastric Junction Cancer with Multiple Lymph Node Metastasis Through Pre-and-Post Operative Chemotherapy].
Gan To Kagaku Ryoho
December 2024
Dept. of Surgery, Yanagawa Hospital.
A 62-year-old man was diagnosed with Stage Ⅲ signet ring cell carcinoma of the lower thoracic esophagus. The patient underwent 2 courses of neoadjuvant cisplatin and 5-fluorouracil(SP therapy), demonstrating stable efficacy. Subsequently, the patient underwent subtotal esophagectomy with thoracoabdominal 2-field lymphadenectomy via right thoracotomy, followed by esophageal reconstruction using a gastric tube through a retrosternal route.
View Article and Find Full Text PDFApplication of pedicled supraclavicular flaps in hypopharyngectomy with preservation of laryngeal function.
BMC Surg
December 2024
Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Southwest Medical University, No.25, Taiping Street, Jiangyang District, Luzhou, 646000, China.
Objective: To evaluate the efficacy of pedicled supraclavicular flaps in hypopharyngectomy reconstruction, with a focus on preserving laryngeal function.
Methods: From August 2019 to June 2022, 14 patients with primary hypopharyngeal carcinoma who met the inclusion and exclusion criteria and underwent the repair of hypopharyngeal defects using pedicled supraclavicular flaps were included retrospectively. Relevant clinical evaluation indicators include patient characteristics, defect sizes, flap sizes, flap harvesting time, postoperative hospital stay, postoperative complications, recurrence, and survival outcomes.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!