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Alan G. Casson
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Ann Thorac Surg 1995;60:1795-1797
© 1995 The Society of Thoracic Surgeons

Case Report

Adenocarcinoma of the Neo-Esophagus After Collis Gastroplasty

Donna E. Maziak, MDCM, Michael R. Johnston, MD, Alan G. Casson, MB, ChB

Division of Thoracic Surgery, University of Toronto, Mount Sinai Hospital, Toronto, Ontario, Canada

Accepted for publication May 27, 1995.

The development of an invasive adenocarcinoma arising from gastric mucosa within the neo-esophagus of a Collis gastroplasty is uncommon. We report 1 patient in whom an adenocarcinoma developed 18 years postoperatively, and who was treated by total gastrectomy. We suggest accurate preoperative evaluation and staging to distinguish tumors arising in the distal esophagus from those arising in the gastric mucosa of the neo-esophagus, and recommend an approach to management of these tumors.






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