Minimally Invasive Surgical Approach for Esophageal Adenocarcinoma in a Patient with Previous Belsey Mark IV Fundoplication: A Case Report
Minimally Invasive Surgical Approach for Esophageal Adenocarcinoma in a Patient with Previous Belsey Mark IV Fundoplication: A Case Report
Review Data
Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for
researchers?
A: Very good
Abstract & Keywords
Q: Are all required components included in the abstract? Are the keywords appropriately chosen?
A: Excellent
Goal
Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?
A: Good
Structure
Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?
A: Very good
Tools and Methods
Q: Are methods the author uses adequate and well used?
A: Very good
Discussion & Conclusion
Q: Is it related to the results presented before? Do you consider them as coherent?
A: Very good
Comments:
This case report describes the successful surgical management of a patient with previous thoracic anti-reflux surgery followed by Minimally Invasive Ivor-Lewis Esophagectomy (LILE), who was deemed inoperable after initial clinical staging. The case description is adequate. The report is well supported with briefly explained figures. The Discussion explains the challenges in treating the patient in the present case clearly. It also offers useful suggestions with respect to the treatment regimen. This case shows that with careful surgical dissection, there is minimal risk to the conduit such that a standard gastric conduit reconstruction can be utilized. The report finally Concludes that staging with CT-PET and EUS has a crucial role in these patients and indicate the importance of the multi-disciplinary team discussion involving specialist upper Gastrointestinal surgeons experienced in both benign (anti-reflux) and oncology surgery.
Literature
Q: Does the author utilize relevant literature?
A: Good
Author's knowledge
Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?
A: Good
Length
Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?
A: Good
Figures & Tables
Q: Does the author use them suitably? Are legend and notations clear?
A: Very good
Writing style
Q: Is it clear and understandable?
A: Very good
Further comments on the paper
Comments: This case report presents the case of a 64-year-old male patient with a gastro-esophageal junction (GEJ) adenocarcinoma, who underwent a pediatric thoracotomy and Belsey Mark IV fundoplication, and was successfully treated by Laparoscopic Ivor-Lewis Esophagectomy (LILE). The case report holds significance as it demonstrates that these patients may still be treated with a complete laparoscopic reversal and mobilisation of a prior fundoplication wrap, without conduit compromise. The report highlights the importance of EUS as a staging modality for such cases showing invasive (T4b) disease to increase the final clinical staging accuracy.
Q: Would you recommend this manuscript for further publication?
A: Yes - Suitable to be published
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Author Info
R Goburdhun M Likos Corbett P H Patel C Groves J Chow A M Young S Uren MA Chaudry Sacheen Kumar
Corresponding Author
Sacheen KumarDepartment of Upper GI Surgery, The Royal Marsden Hospital, London, UK
Article Info
Article Type
Case ReportPublication history
Received: Fri 02, Jul 2021Accepted: Mon 30, Aug 2021
Published: Thu 30, Sep 2021
Copyright
© 2023 Sacheen Kumar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.DOI: 10.31487/j.SCR.2021.09.11