Management of synchronous adenocarcinoma of the esophago-gastric junction and ampulla of Vater: case report of a surgically challenging condition

doi:10.1186/1754-9493-3-23

Patient Safety in Surgery

Volume 3

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Case report

Management of synchronous adenocarcinoma of the esophago-gastric junction and ampulla of Vater: case report of a surgically challenging condition

Namita Jayaprakash , Fardod O'Kelly , Kheng Tian Lim and John Vincent Reynolds

Department of Clinical Surgery, Trinity Centre, Trinity College Dublin and St James's Hospital, Dublin 8, Ireland

author email corresponding author email

Patient Safety in Surgery 2009, 3:23doi:10.1186/1754-9493-3-23


Published:	28 September 2009

Abstract

We report herein a case of a synchronous presentation of an adenocarcinoma of esophagago-gastric junction type II and an ampullary tumor that was treated by combined Whipple's pancreaticoduodenectomy, total gastrectomy and esophagectomy. The magnitude of this operation was safely achieved with meticulous surgical techniques and perioperative care without any major short or long term complications. Patient returned to a good quality of life at six-month follow up with no further gastrointestinal symptoms or evidence of disease recurrence.