AIM: To review the post-operative morbidity and mortality of total esophagogastrectomy (TEG) with second barrier lymphadenectomy (D2) with interposition of a transverse colon and to determine the oncological outcomes of TEG D2 with interposition of a transverse colon. METHODS: This study consisted of a retrospective review of @entity1 with a @entity5 diagnosis who underwent TEG between 1997 and 2013. Demographic data, surgery protocols, complications according to Clavien-Dindo classifications, final pathological reports, oncological follow-ups and causes of @entity204 were recorded. We used the TNM 2010 and Japanese classifications for nodal dissection of @entity356 . We used descriptive statistical analysis and Kaplan-Meier survival curves. A P-value of less than 0.05 was considered statistically significant. RESULTS: The series consisted of 21 @entity1 (80.9% @entity1 ). The median age was 60 years. The 2 main surgical indications were extensive @entity5 (85.7%) and double @entity5 (14.2%). The mean total surgery time was 405 min (352-465 min). Interposition of a transverse colon through the posterior mediastinum was used for replacement in all cases. Splenectomy was required in 13 @entity1 (61.9%), distal pancreatectomy was required in 2 @entity1 (9.5%) and resection of the left adrenal gland was required in 1 @entity1 (4.7%). No @entity5 surgery was achieved in 75.1% of @entity1 . A total of 71.4% of @entity1 had a @entity260 . Respiratory complications were the most frequently observed complication. Postoperative mortality was 5.8%. Median follow-up was 13.4 mo. Surgery specific survival at 5 years of follow-up was 32.8%; for @entity1 with curative surgery, it was 39.5% at 5 years. CONCLUSION: TEG for @entity5 with interposition of a transverse colon is a very complex surgery, and it presents high post-operative morbidity and adequate oncological outcomes.

Total esophagogastrectomy plus extended lymphadenectomy with transverse colon interposition: A treatment for extensive esophagogastric junction XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'men'] @entity5 :: ('MESH:D009369', 'Disease') :: ['esophagogastric junction cancers', 'residual cancer', 'cancers', 'cancer'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complication'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric cancer']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
