Document Detail


Surgical management of gastroesophageal junction tumors.
MedLine Citation:
PMID:  23207043     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Surgical resection remains the mainstay of potentially curative therapy for gastroesophageal junction (GEJ) tumors. However, because of the location of the tumor at the boundary between the esophagus and stomach, GEJ tumors have been a source of controversy in regard to their definition, classification, staging and surgical management. The definition of GEJ tumors was addressed with the development of the three-tiered Siewert's classification scheme. There remain many controversies regarding the appropriate surgical approach and the extent of the lymphadenectomies for these tumors. For locally advanced, resectable GEJ tumors, an aggressive surgical resection should be considered and the approach predicated by tumor location as defined by the Siewert's classification. Limited resections for earlier stage tumors have also been evaluated.
Authors:
Alfredo Amenabar; Toshitaka Hoppo; Blair A Jobe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in radiation oncology     Volume:  23     ISSN:  1532-9461     ISO Abbreviation:  Semin Radiat Oncol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9202882     Medline TA:  Semin Radiat Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  16-23     Citation Subset:  IM    
Copyright Information:
Copyright © 2013. Published by Elsevier Inc.
Affiliation:
Division of Thoracic and Foregut Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
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