Q) According to Siewert classification tumors at GE junction are
a) Type I
b) Type II
c) Type III
d) Type IV
Answer (free for all)
Answer b
Type I Lower (centre located within between 1-5cm above the anatomic OGJ)
Type II Real GE junction (within 1cm above and 2cm below the OGJ)
Type III (2-5cm below OGJ)
This classification has only 3 subtypes
According to the Siewert-Stein classification,
Type I tumour 25% approx
Type II - Most common 49%
Type III was present in 25%
This classification helps in deciding the operative management and unified pre op classificationT
Types of Surgery
Type I cancer--depending of the size of the tumour--distal 2/3 oesophagectomy with the resection of the proximal lesser curve of the stomach or total gastrectomy or THE
In patients with types II and III cancers total gastrectomy
