Adenocarcinoma of the Distal Esophagus in a Patient With a Magnetic Sphincter Augmentation Device: First of Many to Come?

• Published in: The Annals of thoracic surgery Vol. 99; no. 6; pp. e147 - e148
• Main Authors: Stadlhuber, Rudolf J., MD, Dubecz, Attila, MD, Meining, Alexander, MD, Stein, Hubert J., MD, FACS
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.06.2015
• Subjects: Adenocarcinoma - diagnosis; Adenocarcinoma - etiology; Adenocarcinoma - surgery; Cardiothoracic Surgery; Device Removal - methods; Esophageal Neoplasms - diagnosis; Esophageal Neoplasms - etiology; Esophageal Neoplasms - surgery; Esophageal Sphincter, Lower - pathology; Esophagectomy; Gastroesophageal Reflux - therapy; Humans; Magnets - adverse effects; Male; Middle Aged; Surgery; 7
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2015.03.063

Recently an alternative treatment option utilizing a laparoscopically placed magnetic sphincter device has been introduced for gastroesophageal reflux disease patients who are hesitant to undergo Nissen-fundoplication. Based on previous experience with similar devices, concerns have been raised about migration, and in case of a subsequently developing esophageal cancer, technical challenges during the endoscopic or surgical treatment caused by the foreign body reaction around the abdominal esophagus. In this article, we report of the first case of esophagectomy for cancer in a patient with a previously implanted magnetic sphincter augmentation device.