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Postoperative imaging of esophageal cancer: what chest radiologists need to know

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Authors
Kim, Tae Jung; Lee, Kyoung Ho; Kim, Young Hoon; Sung, Sook Whan; Jheon, Sanghoon; Cho, Suk-ki; Lee, Kyung Won
Issue Date
2007-03-22
Publisher
Radiological Society of North America
Citation
Radiographics. 2007 Mar-Apr;27(2):409-29.
Keywords
Esophageal Neoplasms/complications/*radiography/*surgeryEsophagectomy/*adverse effects/methodsHemorrhage/etiology/*radiographyHumansNeoplasm Recurrence, Local/*prevention & control/*radiographyRadiography, Thoracic/*methods
Abstract
A variety of surgical procedures are used in the treatment of esophageal cancer. These procedures include transthoracic esophagectomy (Ivor Lewis procedure, McKeown procedure, left thoracoabdominal approach), transhiatal esophagectomy, and various forms of bypass surgery. Although meticulous surgical techniques and improved postoperative care have markedly reduced the complications associated with these techniques, esophageal resection is still associated with various intraoperative complications (hemorrhage, injury to the tracheobronchial tree, recurrent laryngeal nerve injury) and postoperative complications (anastomotic leak; mediastinitis; respiratory problems, including pleural effusion, pneumonia, and acute respiratory distress syndrome; cardiac and functional complications). Postoperative tumor recurrence is not uncommon in patients undergoing curative resection for esophageal cancer and can be categorized as either locoregional (locoregional lymph node metastases, anastomotic recurrence) or distant (hematogenous metastases, pleural or peritoneal seeding). Hematogenous metastases most commonly involve the liver, lungs, and bones, followed by the adrenal glands, brain, and kidneys. Hematogenous metastases may also involve multiple organs simultaneously. The sophisticated surgical procedures used in esophagectomy can result in anatomic changes and confound image interpretation. The radiologist must understand how these procedures can affect imaging data and be familiar with the appearances of postoperative anatomic changes, complications, and tumor recurrence to ensure accurate evaluation of affected patients.
ISSN
1527-1323 (Electronic)
Language
English
URI
http://radiographics.rsna.org/content/27/2/409.long

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17374861

http://hdl.handle.net/10371/16584
DOI
https://doi.org/10.1148/rg.272065034
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Thoracic Surgery (흉부외과학전공)Journal Papers (저널논문_흉부외과학전공)
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