Thoracoscopic Surgery in a Patient with Multiple Esophageal Carcinomas after Surgery for Esophageal Achalasia

We present a case in which we used a thoracoscopic approach for resection of multiple esophageal carcinomas diagnosed 33 years after surgery for esophageal achalasia. A 68-year-old Japanese man had been diagnosed with esophageal achalasia and underwent surgical treatment 33 years earlier. He was exa...

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Main Authors: Yuki Yamasaki, Tomoya Tsukada, Tatsuya Aoki, Yusuke Haba, Katsuhisa Hirano, Toshifumi Watanabe, Masahide Kaji, Koichi Shimizu
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2017/3272014
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author Yuki Yamasaki
Tomoya Tsukada
Tatsuya Aoki
Yusuke Haba
Katsuhisa Hirano
Toshifumi Watanabe
Masahide Kaji
Koichi Shimizu
author_facet Yuki Yamasaki
Tomoya Tsukada
Tatsuya Aoki
Yusuke Haba
Katsuhisa Hirano
Toshifumi Watanabe
Masahide Kaji
Koichi Shimizu
author_sort Yuki Yamasaki
collection DOAJ
description We present a case in which we used a thoracoscopic approach for resection of multiple esophageal carcinomas diagnosed 33 years after surgery for esophageal achalasia. A 68-year-old Japanese man had been diagnosed with esophageal achalasia and underwent surgical treatment 33 years earlier. He was examined at our hospital for annual routine checkup in which upper gastrointestinal endoscopy showed a “0-IIb+IIa” lesion in the middle esophagus. Iodine staining revealed multiple irregularly shaped iodine-unstained areas, the diagnosis of which was esophageal carcinoma. Thoracoscopic subtotal esophagectomy was performed. Esophageal carcinoma may occur many years after surgery for esophageal achalasia, even if the passage symptoms have improved. So, long-term periodic follow-up is necessary for detection of carcinoma at an earlier stage.
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institution Kabale University
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language English
publishDate 2017-01-01
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series Case Reports in Surgery
spelling doaj-art-f6e1337f3afe450eb82c0dd18332225b2025-02-03T01:02:32ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/32720143272014Thoracoscopic Surgery in a Patient with Multiple Esophageal Carcinomas after Surgery for Esophageal AchalasiaYuki Yamasaki0Tomoya Tsukada1Tatsuya Aoki2Yusuke Haba3Katsuhisa Hirano4Toshifumi Watanabe5Masahide Kaji6Koichi Shimizu7Department of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama 930-0975, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama 930-0975, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama 930-0975, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama 930-0975, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama 930-0975, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama 930-0975, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama 930-0975, JapanDepartment of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama 930-0975, JapanWe present a case in which we used a thoracoscopic approach for resection of multiple esophageal carcinomas diagnosed 33 years after surgery for esophageal achalasia. A 68-year-old Japanese man had been diagnosed with esophageal achalasia and underwent surgical treatment 33 years earlier. He was examined at our hospital for annual routine checkup in which upper gastrointestinal endoscopy showed a “0-IIb+IIa” lesion in the middle esophagus. Iodine staining revealed multiple irregularly shaped iodine-unstained areas, the diagnosis of which was esophageal carcinoma. Thoracoscopic subtotal esophagectomy was performed. Esophageal carcinoma may occur many years after surgery for esophageal achalasia, even if the passage symptoms have improved. So, long-term periodic follow-up is necessary for detection of carcinoma at an earlier stage.http://dx.doi.org/10.1155/2017/3272014
spellingShingle Yuki Yamasaki
Tomoya Tsukada
Tatsuya Aoki
Yusuke Haba
Katsuhisa Hirano
Toshifumi Watanabe
Masahide Kaji
Koichi Shimizu
Thoracoscopic Surgery in a Patient with Multiple Esophageal Carcinomas after Surgery for Esophageal Achalasia
Case Reports in Surgery
title Thoracoscopic Surgery in a Patient with Multiple Esophageal Carcinomas after Surgery for Esophageal Achalasia
title_full Thoracoscopic Surgery in a Patient with Multiple Esophageal Carcinomas after Surgery for Esophageal Achalasia
title_fullStr Thoracoscopic Surgery in a Patient with Multiple Esophageal Carcinomas after Surgery for Esophageal Achalasia
title_full_unstemmed Thoracoscopic Surgery in a Patient with Multiple Esophageal Carcinomas after Surgery for Esophageal Achalasia
title_short Thoracoscopic Surgery in a Patient with Multiple Esophageal Carcinomas after Surgery for Esophageal Achalasia
title_sort thoracoscopic surgery in a patient with multiple esophageal carcinomas after surgery for esophageal achalasia
url http://dx.doi.org/10.1155/2017/3272014
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