Brown AM, et al. – Authors present a review of the available evidence of the surgical management of Siewert II tumors. The evidence seems to support transabdominal extended total gastrectomy for achieving a satisfactory oncologic resection. This approach seems to have a slight advantage in terms of perioperative complications, and overall postoperative quality of life. Overall and disease–free survival compares favorably to the transthoracic approach. They realized that these results can be achieved with careful selection of patients balancing more than just the Siewert type in the decision–making but considering also preoperative T and N stages, histological type (diffuse type requiring longer margins that are not always achievable via gastrectomy), and the presence of Barrett’s esophagus.