Do you electively cover the celiac axis in a patient with node negative middle third to distal, and GEJ esophageal carcinoma?

We do treat celiac axis nodes for distal esophagus and GE junction tumors along with the gastrohepatic nodal region for patients treated with a curative intent.

A surgical series of 462 consecutive patients treated with curative resection after chemoRT showed a celiac node metastasis in 15% of patients. Only 31% were identified on EUS/CT (not PET staged). Obviously PET will increase this sensitivity.

MDACC published their series of 131 patients treated with ...