Surgical principles for optimal treatment of esophagogastric junction adenocarcinoma

Tamar Nobel, Daniela Molena

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations


The incidence of esophagogastric junction (EGJ) adenocarcinoma is increasing worldwide. Management of these tumors remains controversial given their unique location between the esophagus and the stomach. Debate surrounding the optimal therapy for EGJ adenocarcinoma has often centered around the tumor origin as defined by the Siewert classification system. However, the optimal surgical management should focus on adhering to important surgical principles that will allow for the best outcomes and prognosis regardless of tumor location including resection with appropriate and negative histological margins, adequate lymphadenectomy, minimization of morbidity and mortality, and preservation of quality-of-life. In this article, we provide a discussion of the controversy surrounding EGJ adenocarcinoma within the framework of these concepts.

Original languageEnglish
Pages (from-to)390-395
Number of pages6
JournalAnnals of Gastroenterological Surgery
Issue number4
StatePublished - Jul 2019


  • Siewert classification
  • esophageal adenocarcinoma
  • esophageal cancer
  • esophagectomy
  • esophagogastric junction adenocarcinoma


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