The aim of this paper is to sustain the palliative resection in @entity5 of the esophago-gastric junction, as a surgical approach that allows a better post-operative life comfort in comparison with simple gastrostomy. 62 observations with proximal @entity5 of the @entity1819 (12.5%) were identified between January 1996-August 2001, representing 12.5% of the 496 @entity1 with @entity356 admitted in our unit in the same period. Out of these 62 cases, 55 (88.71%) underwent surgical procedures. Our attitude was @entity146 in 25 cases. 40.32%, including the locally advanced lesions with palliative surgical indications (18 obs.). The other 30 @entity1 underwent: 10 laparotomies, 5 gastrostomies and 15 jejunostomies. Local invasion to the neighboring organs imposed partial resection of the transverse colon--1 obs., of the transverse mesocolon--2 obs., and corporeo-caudal pancreatectomies--3 obs. The surgical approach was a left abdomino-thoracic incision, with total gastrectomy and distal esophagectomy, with N1 and N2 lymphadenectomy, splenectomy, and esojejunal intrathoracic @entity254 , with a Roux-en-Y loop, with or without jejunostomy (13 obs.). The immediate post-operative complications were 8 anastomotic leakage, one @entity292 , one occlusion due to a jejunostoma, and 13 extradigestive complications. There were 5 post-operative deaths. CONCLUSION: Neoplasm of the esophago-gastric junction is lately diagnosed, but whenever is possible, total gastrectomy with distal esophagectomy should be carried out.

[Surgical treatment of locally advanced esophago- XXXX ; preliminary results].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity146 :: ('MESH:D001523', 'Disease') :: ['aggressive'] @entity5 :: ('MESH:D009369', 'Disease') :: ['neoplasm'] @entity1819 :: ('MESH:D013272', 'Disease') :: ['stomach'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity292 :: ('MESH:D005402', 'Disease') :: ['duodenal stump fistula'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric neoplasm']
@entity356 :: (MESH:D013274,Disease) :: ['gastric cancer']
