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Peush Sahni - GI Surgery Annual

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Peush Sahni GI Surgery Annual
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The 25th volume of this highly successful series covers a range of interesting topics, including biological therapy in inflammatory bowel disease, recent surgical approaches in rectal cancer, tumor markers in HPB and GI malignancies, bridging therapy for hepatocellular carcinoma, adjuncts to liver resection, IgG-related HPB diseases, ERCP-induced perforations and superior mesenteric artery syndrome. As in the previous volumes, the chapter on advances in GI surgery reviews the important new developments in the field.The GI Surgery Annual 25th Volume provides up-to-date information on current hot topics.

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Volume 25 GI Surgery Annual Series Editor T K Chattopadhyay Department of - photo 1
Volume 25
GI Surgery Annual
Series Editor
T. K. Chattopadhyay
Department of HPB Surgery, Institute of Liver and Biliary Sciences, New Delhi, India

This compendium of reviews in gastrointestinal surgery covers topics that are of contemporary interest to surgeons reflecting the popular trends in this field. Started by the Indian Association of Surgical Gastroenterology (IASG), the GI Surgery Annual has covered a journey of over 2 decades which speaks for its relevance and popularity among general and gastrointestinal surgeons. The reviews contain up-to-date scientific content of enduring academic interest with each new volume covering 10-12 topics. From 2016 onwards, this Annual turns a new page in its academic journey by publishing the forthcoming titles with Springer. The editorial control continues to remain with the IASG and the current editorial board.

The Idea of GI Surgery Annual was first conceived during the annual conference of Indian Association of Surgical Gastroenterology in 1991 and the First Volume came into existence in the year 1994, through the efforts of Professor TK Chattopadhyay and his team of co-editors. Professor TK Chattopadhyay continues to head the editorial board in his current capacity as Professor Emeritus, AIIMS, New Delhi.

This Annual is an essential resource for postgraduate and postdoctoral trainees in surgery and gastrointestinal surgery, for practising surgeons who wish to keep up-to-date with developments in the field and for established academic surgeons as well.

More information about this series at http://www.springer.com/series/15222

Editors
Peush Sahni and Sujoy Pal
Editor-in-Chief
T. K. Chattopadhyay
GI Surgery Annual Volume 25
Editors Peush Sahni Department of GI Surgery and Liver Transplantation All - photo 2
Editors
Peush Sahni
Department of GI Surgery and Liver Transplantation, All India Institute of Medical Sciences, New Delhi, India
Sujoy Pal
Department of GI Surgery and Liver Transplantation, All India Institute of Medical Sciences, New Delhi, India
Editor-in-Chief
T. K. Chattopadhyay
Department of HPB Surgery, Institute of Liver and Biliary Sciences, New Delhi, India
ISSN 2367-3435 e-ISSN 2367-3443
GI Surgery Annual
ISBN 978-981-13-3226-5 e-ISBN 978-981-13-3227-2
https://doi.org/10.1007/978-981-13-3227-2
Indian Association of Surgical Gastroenterology 2019
This work is subject to copyright. All rights in this edition are solely and exclusively licensed by Springer Nature Singapore Pte Ltd., whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd.

The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore

Preface

It is indeed a pleasure to bring to you the twenty-fifth volume of the GI Surgery Annual . During its journey, the Annual has been quite popular among members of the association. I, as the editor, have enjoyed producing each issue over these years. It has been a very satisfying effort.

Advances in surgical gastroenterology have been so great that the Indian Association of Surgical Gastroenterology had decided to disseminate this information among its members through the GI Surgery Annual . In the early years of its existence, the Association had a fair number of its members living in far flung areas of the country who did not have ready access to the available literature. Mind you, this was before the days of the internet! Things have changed and indeed remarkably. What has not changed is the desire to acquire new knowledge for better patient care.

I and my co-editors are committed to further this cause.

Happy reading!

T. K. Chattopadhyay
New Delhi, India
Contents
Rajneesh Kumar Singh
V. P. Bhalla , V. K. P. Singh , R. Vats and D. Goel
V. Pratap Mouli and Vineet Ahuja
Deeksha Kapoor , Amanjeet Singh and Adarsh Chaudhary
Anand Bharathan and V. Sitaram
Jimil Shah and Usha Dutta
S. Soundappan , R. Pradeep , G. V. Rao and D. N. Reddy
Shailesh Sable and Vinay Kumaran
Ragini Kilambi and Senthil Kumar
T. K. Chattopadhyay
About the Editors
T. K. Chattopadhyay

is Professor Emeritus in the Department of GI Surgery and Liver Transplantation, All India Institute of Medical Sciences, New Delhi. He initiated this series 25 years ago and has been the Editor-in-Chief of this series since its inception. Presently, he is Professor and Head of the Department of HPB Surgery, Institute of Liver and Biliary Sciences, New Delhi.

Peush Sahni

is Professor and Head of the Department of GI Surgery and Liver Transplantation, All India Institute of Medical Sciences, New Delhi. He has been Editor since the second volume of this series.

Sujoy Pal

is Professor in the Department of GI Surgery and Liver Transplantation, All India Institute of Medical Sciences, New Delhi. He has been Editor of this series since 2005.

Indian Association of Surgical Gastroenterology 2019
Peush Sahni and Sujoy Pal (eds.) GI Surgery Annual GI Surgery Annual https://doi.org/10.1007/978-981-13-3227-2_1
1. Esophagogastric Junction (EGJ) Carcinoma: An Updated Review
Rajneesh Kumar Singh
(1)
Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, UP, India
Rajneesh Kumar Singh
1.1 Introduction

Epithelial carcinomas constitute the majority of all cases of esophageal cancer. While squamous cell carcinoma (SCC) typically occurs throughout the esophagus (commonest middle third), adenocarcinomas mostly occur in the distal one-third and the esophagogastric junction (EGJ). All adenocarcinomas involving the EGJ are included under the group of EGJ carcinomas; these include esophageal carcinomas, gastric carcinomas and true carcinomas of the cardia. It is rare for lower esophageal SCCs to involve the EGJ; hence all discussion of EGJ carcinomas refers to adenocarcinoma. The incidence of adenocarcinoma has increased, while that of SCC has declined steadily in the Western population, in the last few decades []. Hence EGJ carcinoma has become a tumour of increasing importance over the last few decades. The reasons for the increasing focus on these tumours include the rising incidence in the Western world, the controversies in classifications, the generally poor prognosis and major differences in the treatment and outcomes as compared to squamous cell carcinoma of the esophagus.

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