A Case of Esophagogastric Junction Carcinoma with Severe Chronic Obstructive Pulmonary Disease who Underwent Comprehensive Intervention with Geriatric Assessment and Subsequent Curative Resection

Abstract

A 73-year-old man with esophagogastric junction adenocarcinoma cT2N0M0 cStage I was determined to be unfit for surgery after geriatric assessment (GA) revealed comorbidities of severe chronic obstructive pulmonary disease (COPD) and sarcopenia. Therefore, chemotherapy was initiated. Concurrently, comprehensive interventions, including COPD medical therapy, nutrition therapy, and exercise therapy, were performed to improve respiratory function and nutritional status. After 3 months, his respiratory function and nutritional status improved, and he was deemed fit for surgery. Therefore, thoracoscopic subtotal esophagectomy was performed. He was discharged on postoperative day 26 without any postoperative complications. We managed a case of esophagogastric junction cancer with severe COPD who underwent radical surgery after comprehensive intervention through GA.