Treatment of esophagogastric junction carcinoma: an unsolved debate

World J Gastroenterol. 2015 Apr 21;21(15):4427-31. doi: 10.3748/wjg.v21.i15.4427.

Abstract

The incidence of esophagogastric junction adenocarcinoma (AEG) is increasing worldwide. Barrett's esophagus (BE) associated with dysplasia is the main risk factor for the development of cancer. Currently, screening programs to individuate and eradicate BE represent the best way to reduce AEG cancer. Several endoscopic approaches are here discussed. Surgical strategies for different types of AEG cancer are now fairly standardized, and multidisciplinary strategies using chemotherapy or chemoradiotherapy may improve the outcome of these patients. Here we briefly discuss the keypoints, main topics, and critical issues, according to accumulating evidence and taking into account our own experience.

Keywords: Barrett’s esophagus; Chemoradiotherapy; Chemotherapy; Endoscopic resection; Esophagogastric junction adenocarcinoma; Surgery.

Publication types

  • Editorial
  • Review

MeSH terms

  • Adenocarcinoma / epidemiology
  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery*
  • Barrett Esophagus / epidemiology
  • Chemoradiotherapy, Adjuvant
  • Chemotherapy, Adjuvant
  • Esophageal Neoplasms / epidemiology
  • Esophageal Neoplasms / pathology
  • Esophageal Neoplasms / surgery*
  • Esophagectomy*
  • Esophagogastric Junction / pathology
  • Esophagogastric Junction / surgery*
  • Humans
  • Neoadjuvant Therapy
  • Risk Factors
  • Stomach Neoplasms / epidemiology
  • Stomach Neoplasms / pathology
  • Stomach Neoplasms / surgery*
  • Treatment Outcome