No abstract available.
Cardia* ; Esophagus* ; Stents*

No abstract available.
Adenocarcinoma* ; Cardia* ; Stomach*

We wish to emphasize that old and debilitated prostatic patients with complicating cardiocirculatory pathology should not be doomed to a catheter life and thus deprived of the advantages of recent advances made in medicine and surgery. With thorough evaluation of the cardiac status, an adequate preoperative cardiac preparation and the employment of edoscopic prostatic surgery, it is now possible to make the remaining days of these erstwhile unfortunate patients, not only longer, but also happier. (Summary and conclusion)
Surgery, Surgery, Operative, Cardia

PURPOSE: Laparoscopic gastric wedge resection (LWR) is being increasingly performed as a safe and effective treatment for gastric submucosal tumors (SMTs). However, there are few studies on the factors associated with operation time of LWR for gastric SMTs. The purpose of this study was to determine the factors associated with the operation time of LWR for gastric SMTs. METHODS: Between June 2001 and December 2008, 58 patients with gastric SMTs underwent LWR. We analyzed the clinicopathologic data, perioperative parameters and outcomes, and surgeon's experience retrospectively. We also analyzed the factors associated with the operation time of LWR for gastric SMTs. RESULTS: Among 58 patients that underwent LWR, exogastric wedge resection (n=48) was mainly performed. Transgastric wedge resection (n=8) took the longest amount of time. Intraoperative GFS (n=7) was frequently performed for smaller tumors. When the tumor was located at the cardia and fundus, more time was needed for LWR of the SMTs. There was no correlation of the operation time with the clinicopathologic data and surgeon's experience; however, the tumor location (axis) and the approach used for the resection of the stomach were statistically correlated with the operation time. CONCLUSION: The operation time of LWR for gastric SMTs was related to the tumor location (according to gastric axis) and the approach used for the resection of the stomach. If the tumor location was identified precisely and the proper approach for resection of the stomach was determined preoperatively, the operation time of LWR for gastric SMTs might be reduced.
Cardia ; Humans ; Retrospective Studies ; Stomach

Breaking in the site of connection of esophage and cardia is a rare condition in the close abdomen trauma with a high mortality. Its cause is usually a sudden rise of pressure in the abdomen cavity or an error in operation. Early diagnosis is most importance. Tomography is helpful to diagnose the emphysema in the chest in abdomen surgery is an approach od choise
Wounds and Injuries ; Liver ; Abdomen ; Cardia

Cardia ; Gastric Fundus ; Humans ; Stomach Neoplasms ; surgery

BACKGROUND/AIMS: There was some technical difficulty in applying the hemoclip on the posterior wall of the body, cardia of the stomach and posterior wall of duodenum because the angle of approach was tangential. Use of transparent cap on the tip of the endoscope could reduce some of these problems. The purpose of this study was to examine the efficacy of endoscopic hemoclipping using a transparent cap. METHODS: From August 1997 to July 2000, 74 patients with bleeding peptic ulcer and stigmata of recent hemorrhage were treated with endoscopic hemoclipping. There was technical difficulty in applying the hemoclip in 18 patients and the transparent cap was used. RESULTS: There was no statistically significant difference between the patients treated with cap and the patients treated without cap in initial hemostasis rate (91.1% vs 94.4%), rebleeding rate (11.8% vs 11.7%), and permanent hemostasis rate (92.9% vs 94.4%). CONCLUSIONS: Use of transparent cap on the tip of the endoscope was an efficient method when the angle of approach was tangential.
Cardia ; Christianity ; Duodenum ; Endoscopes ; Hemorrhage ; Hemostasis ; Humans ; Peptic Ulcer ; Stomach

BACKGROUND AND AIMS: The coiled stent is designed to allow removal in the event that stent malposition or migration occurs in patients with an inoperable malignant esophageal obstruction. There is limited published material on the EsophaCoilTM, especially with regard to its removability. A novel method for endoscopic removal of migrated EsophaCoilTM prosthesis is herein described. METHODS: Seven instances of migration occurred in 19 patients who had undergone coiled stent placement for carcinoma of the distal esophagus or gastric cardia. The stents had migrated into the stomach in 6 cases and the stent was at the rectosigmoid junction in 1 patient. The migrated stents were removed endoscopically using a conventional method in 3 cases, and the Song's stent introducer with a metal tip and overtube under fluoroscopic guidance, in the remaining 4 patients. RESULTS: Using the new endoscopic removal technique, migrated stents were successfully removed in 4 patients after conventional methods failed. There were no complications. CONCLUSIONS: An EsophaCoilTM stent, migrating into the stomach or rectum, could be removed easily by this new method using the overtube and Song's stent introducer.
Cardia ; Esophagus ; Humans ; Prostheses and Implants ; Rectum* ; Stents* ; Stomach*

PURPOSE: Due to the biological characteristics of cardia cancer, prognosis is poor. It is therefore essential to achieve a sufficient proximal resection margin to maximize survival. The authors studied gastric cardia cancer, focusing on adenocarcinoma. METHODS: One-hundred fifty patients who were diagnosed with gastric cardia cancer and underwent surgery between January 1990 and December 2006 by a single surgeon were included in this study. RESULTS: Of the 150 cases, 141 were adenocarcinomas, 4 were carcinomas, and 3 were leiomyosarcomas. In the adenocarcinoma group, the male-to-female ratio was 2.62:1. There were 2, 60, and 79 (56.0%) cases of adenocarcinoma type I, II, and III, respectively, and there were 32 (22.7%), 18 (12.8%), 70 (49.6%), and 21 (14.9%) cases of stage I, II, III, and IV tumors, respectively. The mean distance from the proximal tumor to the resection margin was 1.93+/-2 cm pathologically, and there was tumor invasion of the resection margin in 4 cases (2.8%). In the 10 cases of extended surgery in type II, the mean distance was 5.85+/-3.67 cm, with no tumor invasion of the resection margin. Recurrence occurred in 30 (21.3%) cases, and 5 of those cases were local anastomotic site recurrences. Cumulative survival was 81.3%, 77.8%, 51.4%, and 28.6% for stage I, II, III, and IV tumors, respectively. CONCLUSION: Although it is possible to remove the tumor with an appropriate resection margin by only an abdominal incision, the surgeon should always keep in mind the possibility of a thoracoabdominal incision when operating on a patient with esophageal infiltration.
Adenocarcinoma ; Cardia ; Esophagogastric Junction ; Humans ; Leiomyosarcoma ; Population Characteristics ; Prognosis ; Recurrence

Sarcomatoid carcinoma is a rare neoplasm of epithelial origin but consists partly of variable differentiated tumor cells of mesenchymal origin. Accurate diagnosis, including differentiation from adenocarcinoma or gastrointestinal stromal tumor, is difficult. We experienced three cases of sarcomatoid carcinoma of the stomach, and describe the radiological and pathologic findings. One case involved a polypoid mass in the antrum, another a mass with a large ulcer mimicking a Bormann type-II adenocarcinoma in the body, while in the third case, an intraluminal bulky mass arising from the cardia of the stomach was present. This was not differentiated from cancer or stromal tumor.
Adenocarcinoma ; Cardia ; Diagnosis ; Gastrointestinal Stromal Tumors ; Stomach* ; Ulcer