J. Jpn. Bronchoesophagol. Soc., 73 : 29─35, 2022We report the case of a 66-year-old man diagnosed with adenocarcinoma at the esophagogas-tric junction in 2016, with a history of stage IVa middle thoracic esophageal squamous cell carcino-ma, diagnosed in 2007, that had a complete response after undergoing chemoradiotherapy （cisplatin/5-fluorouracil plus RT at 60 Gy）. Radical resection via a left thoracoabdominal approach was performed including the irradiation field, lower esophagectomy and proximal gastrectomy with jejunal interposition. Postoperatively there was esophagojejunal anastomotic leakage, and a drainage tube was inserted transnasally into the abscess cavity through the site of the suture fail-ure. Through enteral nutrition and intermittent drainage, the abscess cavity gradually narrowed, and the esophagojejunal anastomotic leakage was fully treated. This was an unusual case involv-ing anastomotic leakage completely resolved through conservative drainage at the site of the su-ture failure. We include a detailed review of the literature.salvage surgery, anastomotic leakageKey words : esophageal cancer, definitive chemoradiotherapy, esophagogastric junction cancer, 35日気食会報，73（1），2022Radical Resection of Esophagogastric Junction Cancer after Chemoradiotherapy for Unresectable Esophageal Cancer: Report of a Case Involving Successful Conservative Treatment of Anastomotic Leakage1）Department of Surgery, Kurume University School of Medicine, FukuokaMasahiro Fujisaki, M.D.1）, Satoru Matono, M.D.1）, Naoki Mori, M.D.1）, Haruhiro Hino, M.D.1）, Kouhei Saisho, M.D.1）, Masashi Nakagawa, M.D.1）, Toshiaki Tanaka, M.D.1）, and Yoshito Akagi, M.D.1）
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