PT  - JOURNAL ARTICLE
AU  - MINORU FUKUCHI
AU  - ERITO MOCHIKI
AU  - OKIHIDE SUZUKI
AU  - TORU ISHIGURO
AU  - JUN SOBAJIMA
AU  - KANA SAITO
AU  - HIROSHI NAITOH
AU  - YOUICHI KUMAGAI
AU  - HIROYUKI BABA
AU  - KEIICHIRO ISHIBASHI
AU  - HIDEYUKI ISHIDA
TI  - Is Gastric Tube Reconstruction the Optimal Surgical Procedure for Siewert Type II Esophagogastric Junction Carcinoma?
DP  - 2014 Feb 01
TA  - Anticancer Research
PG  - 915--919
VI  - 34
IP  - 2
4099  - http://ar.iiarjournals.org/content/34/2/915.short
4100  - http://ar.iiarjournals.org/content/34/2/915.full
SO  - Anticancer Res2014 Feb 01; 34
AB  - Background/Aim: To evaluate the potential risk of gastric tube reconstruction for Siewert type II esophagogastric junction carcinoma. Patients and Methods: We retrospectively analyzed clinicopathological and survival data of 41 patients who had undergone total gastrectomy for Siewert type II carcinoma, focusing on lymph node metastasis around the middle to lower greater curvature or parapyloric area. Results: Histological examination showed involvement of at least one lymph node in six patients (14%). Multivariate Cox proportional hazard regression analysis of seven clinicopathological variables showed that lymph node metastasis around the middle to lower greater curvature, or parapyloric area was the only significant independent unfavorable factor (odds ratio=6.62; 95% confidence interval=1.27-41.1; p=0.03) for survival. We identified no significant predictors of lymph node metastasis in analyzed patients. Conclusion: From an oncological point of view, we do not recommend routine gastric tube reconstruction for Siewert type II carcinoma.