...the guidelines have included the targeted therapy ramucirumab (category 1 for EGJ adenocarcinoma; category 2A for esophageal adenocarcinoma) as a single agent or in combination with paclitaxel (preferred) as treatment options for second line or subsequent therapy....Esophageal and Esophagogastric Junction Cancers: Useful in Certain Circumstances…Fluorouracil and irinotecan + ramucirumab (only for adenocarcinoma)...Esophageal and Esophagogastric Junction cancers: Other recommended regimens…Irinotecan and ramucirumab for adenocarcinoma…