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Successful esophageal endoscopic submucosal dissection with intraoperative release of stenosis due to previous endoscopic submucosal dissection scarring

Endoscopic submucosal dissection (ESD) is the standard endoscopic treatment for early esophageal cancer. Esophageal stricture often occurs at the site of ESD for large lesions. When treating a metachronous lesion appearing at the severe stricture, it may be difficult to negotiate a conventional endo...

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Autores principales: Ishii, Rindo, Ohata, Ken, Sawada, Rikimaru, Takeuchi, Nao, Kurebayashi, Marie, Inamoto, Rin, Takayanagi, Syunya, Kimoto, Yoshiaki, Nohara, Mako, Liu, Bo, Negishi, Ryoju, Minato, Yohei, Muramoto, Takashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828227/
https://www.ncbi.nlm.nih.gov/pubmed/35310766
http://dx.doi.org/10.1002/deo2.87
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author Ishii, Rindo
Ohata, Ken
Sawada, Rikimaru
Takeuchi, Nao
Kurebayashi, Marie
Inamoto, Rin
Takayanagi, Syunya
Kimoto, Yoshiaki
Nohara, Mako
Liu, Bo
Negishi, Ryoju
Minato, Yohei
Muramoto, Takashi
author_facet Ishii, Rindo
Ohata, Ken
Sawada, Rikimaru
Takeuchi, Nao
Kurebayashi, Marie
Inamoto, Rin
Takayanagi, Syunya
Kimoto, Yoshiaki
Nohara, Mako
Liu, Bo
Negishi, Ryoju
Minato, Yohei
Muramoto, Takashi
author_sort Ishii, Rindo
collection PubMed
description Endoscopic submucosal dissection (ESD) is the standard endoscopic treatment for early esophageal cancer. Esophageal stricture often occurs at the site of ESD for large lesions. When treating a metachronous lesion appearing at the severe stricture, it may be difficult to negotiate a conventional endoscope through the stricture. Using a thin endoscope may be a useful strategy for such lesions, though ESD using a thin endoscope is challenging because of poor maneuverability. Herein, we report a case of successful ESD for early esophageal cancer at the severe stricture, using a conventional endoscope. A 72‐year‐old man with a previous history of ESD for esophageal cancer and a post‐ESD esophageal stricture was referred to our hospital for metachronous early esophageal cancer. The lesion, 10 mm in diameter, was located at the stricture with a slight distal extension. Conventional endoscopes could not be negotiated through stricture. Therefore, submucosal dissection was performed from the oral to the anal aspect of the lesion, as far as possible. After completion of submucosal dissection of the oral aspect of the lesion and part of the lesion located on the stricture, the severe stricture was released, allowing the passage of conventional endoscope, and ESD of the entire lesion was completed en bloc. Histopathological examination showed squamous cell carcinoma, pT1a‐LPM. Stricture due to scarring may occur during the regeneration process of the defective mucosa, muscularis mucosa, and submucosal layer. Therefore, incision and dissection of the contracted mucosa, mucularis mucosa, and submucosal layer would release the stenosis.
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spelling pubmed-88282272022-03-17 Successful esophageal endoscopic submucosal dissection with intraoperative release of stenosis due to previous endoscopic submucosal dissection scarring Ishii, Rindo Ohata, Ken Sawada, Rikimaru Takeuchi, Nao Kurebayashi, Marie Inamoto, Rin Takayanagi, Syunya Kimoto, Yoshiaki Nohara, Mako Liu, Bo Negishi, Ryoju Minato, Yohei Muramoto, Takashi DEN Open Case Reports Endoscopic submucosal dissection (ESD) is the standard endoscopic treatment for early esophageal cancer. Esophageal stricture often occurs at the site of ESD for large lesions. When treating a metachronous lesion appearing at the severe stricture, it may be difficult to negotiate a conventional endoscope through the stricture. Using a thin endoscope may be a useful strategy for such lesions, though ESD using a thin endoscope is challenging because of poor maneuverability. Herein, we report a case of successful ESD for early esophageal cancer at the severe stricture, using a conventional endoscope. A 72‐year‐old man with a previous history of ESD for esophageal cancer and a post‐ESD esophageal stricture was referred to our hospital for metachronous early esophageal cancer. The lesion, 10 mm in diameter, was located at the stricture with a slight distal extension. Conventional endoscopes could not be negotiated through stricture. Therefore, submucosal dissection was performed from the oral to the anal aspect of the lesion, as far as possible. After completion of submucosal dissection of the oral aspect of the lesion and part of the lesion located on the stricture, the severe stricture was released, allowing the passage of conventional endoscope, and ESD of the entire lesion was completed en bloc. Histopathological examination showed squamous cell carcinoma, pT1a‐LPM. Stricture due to scarring may occur during the regeneration process of the defective mucosa, muscularis mucosa, and submucosal layer. Therefore, incision and dissection of the contracted mucosa, mucularis mucosa, and submucosal layer would release the stenosis. John Wiley and Sons Inc. 2022-01-06 /pmc/articles/PMC8828227/ /pubmed/35310766 http://dx.doi.org/10.1002/deo2.87 Text en © 2022 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Ishii, Rindo
Ohata, Ken
Sawada, Rikimaru
Takeuchi, Nao
Kurebayashi, Marie
Inamoto, Rin
Takayanagi, Syunya
Kimoto, Yoshiaki
Nohara, Mako
Liu, Bo
Negishi, Ryoju
Minato, Yohei
Muramoto, Takashi
Successful esophageal endoscopic submucosal dissection with intraoperative release of stenosis due to previous endoscopic submucosal dissection scarring
title Successful esophageal endoscopic submucosal dissection with intraoperative release of stenosis due to previous endoscopic submucosal dissection scarring
title_full Successful esophageal endoscopic submucosal dissection with intraoperative release of stenosis due to previous endoscopic submucosal dissection scarring
title_fullStr Successful esophageal endoscopic submucosal dissection with intraoperative release of stenosis due to previous endoscopic submucosal dissection scarring
title_full_unstemmed Successful esophageal endoscopic submucosal dissection with intraoperative release of stenosis due to previous endoscopic submucosal dissection scarring
title_short Successful esophageal endoscopic submucosal dissection with intraoperative release of stenosis due to previous endoscopic submucosal dissection scarring
title_sort successful esophageal endoscopic submucosal dissection with intraoperative release of stenosis due to previous endoscopic submucosal dissection scarring
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828227/
https://www.ncbi.nlm.nih.gov/pubmed/35310766
http://dx.doi.org/10.1002/deo2.87
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