23 Redo Thoracoscopic Gastrectomy with Colon Interposition for Recurrent Cancer in the Gastric Tube After Mckeown Esophagectomy

Abstract Introduction Up to 50% of patients treated with curative esophagectomy for esophageal cancer will develop recurrence. This case underscores the successful management of recurrent signet ring carcinoma in the gastric tube 4 years after successful Mckeown esophagectomy with perioperative FLOT protocol. Case presentation A 35-year-old female presented with a newly discovered 2 cm localized ulcerated lesion in the gastric tube during the 4th year follow up endoscopy after minimally invasive Mckeown esophagectomy. She underwent redo thoracoscopicgastrectomy with colon interposition to restore GIT continuity and achieving R0 resection. Results Surgical pathology revealed signet ring carcinoma with free surgical margins, number of submitted lymph nodes was 2/15 and pathological staging pT4a N1 Mx. Conclusions Recurrent carcinoma after curative esophagectomy needs multidisciplinary team to discuss the different modalities of management. Treatment with curative intent is difficult, because there is a few data in the literature regarding this subject.