Surgical Treatment of Gastric Cancer: Carcinomas of the Gastroesophageal Junction

  • A. H. Hölscher
  • M. Schüler
  • J. R. Siewert


Surgical therapy of gastroesophageal junction carcinomas is of special interest in the setting of the discussion on gastric carcinoma for two reasons. First, a relative increase in the so-called carcinoma of the cardia has been reported by authors from several countries in recent years.1–5 This shift in the topography of gastric carcinoma, which has been described by Ottenjann in the German lingual sphere,4 is also reproducible in the authors’ patient group of the last 5 years. On the other hand, the selection of procedures for cardiac carcinoma is as controversial as its definition (Fig. 1). In a questionnaire submitted to 22 European surgical clinics with a total of 1,200 patients with cardiac carcinoma, seven variants concerning extent of resection alone were described.6


Total Gastrectomy Gastroesophageal Junction Gastric Cardia Esophageal Resection Cervical Anastomosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag New York, Inc. 1989

Authors and Affiliations

  • A. H. Hölscher
  • M. Schüler
  • J. R. Siewert

There are no affiliations available

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