{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T17:43:26Z","timestamp":1758476606154},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1981,7,1]],"date-time":"1981-07-01T00:00:00Z","timestamp":362793600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1981,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Esophagogastrectomy with esophagogastrostomy is the treatment of choice for patients with cancer of the lower esophagus and cardia. The Lahey Clinic experience with the surgical management of this disease between January, 1970 and March 1, 1980, consists of 68 patients, 58 of whom (85.3%) had resections. Forty\u2010three had stage III disease, and the remainder (25) were equally divided between stages I and II. Esophagogastrectomy and end\u2010toside esophagogastrostomy is performed through a left thoracotomy without the use of clamps and without tension<\/jats:bold>.<\/jats:p><jats:p><jats:bold>One patient died postoperatively of a myocardial infarction\u2010an overall hospital mortality rate of 1.7%. With few exceptions, all of the hospital survivors were able to swallow without difficulty throughout the follow\u2010up period. Long\u2010term survival was rare, but of the 22 patients operated on 5 or more years ago, 4 survived from 5 to 8 years; the 5\u2010year survival rate was 50% for patients with cancer developing in the lower esophagus but only 11.1% for those with disease arising at the cardia<\/jats:bold>.<\/jats:p><jats:p><jats:bold>The low mortality and morbidity rates and the excellent palliation afforded patients with cancer of the lower esophagus and cardia by esophagogastrectomy with esophagogastrostomy justify its continued use in the management of patients with lesions in this location<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01655005","type":"journal-article","created":{"date-parts":[[2005,5,9]],"date-time":"2005-05-09T09:16:17Z","timestamp":1115630177000},"page":"527-533","source":"Crossref","is-referenced-by-count":25,"title":["Surgery for carcinoma of the lower esophagus and cardia"],"prefix":"10.1002","volume":"5","author":[{"suffix":"Jr.","given":"F. Henry","family":"Ellis","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery Lahey Clinic Foundation and New England Deaconess Hospital Burlington Massachusetts USA"},{"name":"Department of Thoracic and Cardiovascular Surgery Lahey Clinic Foundation and New England Deaconess Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter R.","family":"Maggs","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery Lahey Clinic Foundation and New England Deaconess Hospital Burlington Massachusetts USA"},{"name":"Department of Thoracic and Cardiovascular Surgery Lahey Clinic Foundation and New England Deaconess Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1981,7]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"524","article-title":"Beitrage zur Technik der Operationen des Magencarcinoms","volume":"57","author":"Mikulicz J.","year":"1898","journal-title":"Arch. 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J. 1975 1 60 Surgical treatment of carcinoma of the esophagus and gastric cardia; analysis of 1 432 cases"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(75)90173-7"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)40842-X"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(77)90398-1"},{"key":"e_1_2_1_20_1","first-page":"92","article-title":"Mortality and morbidity after esophagogastrectomy for cancer of the esophagus and cardia","volume":"43","author":"Conti S.","year":"1977","journal-title":"Am. Surg."},{"key":"e_1_2_1_21_1","first-page":"8","article-title":"Carcinoma of the oesophagus and cardia","volume":"66","author":"Kairaluoma M.I.","year":"1977","journal-title":"Ann. Chir. 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