Esophageal squamous cell carcinoma is characterized by field cancerization, wherein multiple cancers occur in the esophagus, head and neck, and stomach. Synchronous esophageal and colorectal cancers are also encountered with a certain frequency. A good prognosis can be expected if the tumors in both locations can be safely and completely removed. For patients with multiple cancers that occur simultaneously with esophageal cancer, it is necessary to perform a staged operation, taking into consideration the associated surgical invasiveness. It is also necessary to select multidisciplinary treatment depending on the degree of progression of the multiple lesions. We report our rare experience with a staged operation for a patient with synchronous advanced cancers of the esophagus and cecum who had previously undergone total gastrectomy with reconstruction by jejunal interposition for gastric cancer. A 71-year-old man with a history of reconstruction by jejunal interposition after total gastrectomy was diagnosed as having multiple synchronous esophageal and cecal cancers. After neoadjuvant chemotherapy, we performed a planned two-stage operation, with esophagectomy and jejunostomy in the first stage and ileocecal resection and jejunal reconstruction with vascular anastomosis in the second. Postoperatively, the patient was relieved without major complications, and both tumors were amenable to curative pathologic resection. Our procedure reported here may be recommended as an option for staged resection and reconstruction in patients with simultaneous advanced esophageal and cecal cancer after total gastrectomy.

中文翻译：

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全胃切除空肠介入重建术后同步晚期食管癌和盲肠癌的成功多学科治疗

食管鳞癌的特点是局部癌变，其中多种癌症发生在食管、头颈部和胃部。食管癌和结直肠癌同时发生的频率也很高。如果两个部位的肿瘤都能安全、完全切除，则预后良好。对于与食管癌同时发生的多种癌症的患者，考虑到相关的手术侵袭性，有必要进行分期手术。还需要根据多发病变的进展程度选择多学科治疗。我们报告了我们对患有同步晚期食管癌和盲肠癌的患者进行分期手术的罕见经验，该患者之前曾接受过全胃切除术并通过空肠介入重建胃癌。一名71岁男性，有全胃切除后空肠介入重建史，被诊断患有多发同步食管癌和盲肠癌。新辅助化疗后，我们进行了计划的两期手术，一期进行食管切除和空肠吻合，二期进行回盲部切除和空肠重建血管吻合。术后，患者病情得到缓解，没有发生重大并发症，并且两个肿瘤都适合根治性病理切除。我们在此报道的手术可能被推荐作为全胃切除术后同时患有晚期食管癌和盲肠癌的患者的分期切除和重建的一种选择。