Does adding immunotherapy to neoadjuvant chemotherapy increase postoperative morbidity in gastroesophageal junction adenocarcinoma? A propensity score-matched study - Takeaways - MDSpire

Does adding immunotherapy to neoadjuvant chemotherapy increase postoperative morbidity in gastroesophageal junction adenocarcinoma? A propensity score-matched study

  • By

  • Huiliang Zhang

  • Qingwen Huang

  • Jitao Du

  • Xiangbin Wan

  • July 3, 2026

  • 0 min

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  • 1

    This study evaluated postoperative morbidity in patients with gastroesophageal junction adenocarcinoma receiving neoadjuvant immunotherapy plus chemotherapy.

  • 2

    A total of 400 patients were included, with 140 receiving neoadjuvant immunotherapy and 260 receiving neoadjuvant chemotherapy alone.

  • 3

    The primary outcome showed no significant difference in major complications between the NICT and NCT cohorts.

  • 4

    NICT was associated with improved major pathological regression rates compared to NCT, but not with increased postoperative morbidity.

  • 5

    The findings suggest that adding immunotherapy to neoadjuvant chemotherapy does not significantly increase surgical risk for GEJ adenocarcinoma.

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