Successful Simultaneous Treatment of Benign Stricture and Colonic Neoplasm Arising from Colonic Interposition after Esophagectomy: A Case Report
Colonic interposition is the main procedure used in esophageal reconstruction. We report a rare case of simultaneous treatment of an anastomotic site stricture and a neoplasm in the interpositioned colon. A 69-year-old female visited our outpatient clinic with symptoms of progressive dysphagia for 1...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Jin Publishing & Printing Co.
2023-09-01
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| Series: | The Korean Journal of Gastroenterology |
| Subjects: | |
| Online Access: | https://www.kjg.or.kr/journal/view.html?uid=5954&vmd=Full |
| _version_ | 1827317720182423552 |
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| author | Seung Hee Kim Jin Won Kim Seon-Young Park Hyun-Soo Kim Chae June Lim Gang Han Lee Jae Woong Lim Young Eun Seo Shin Young Park Yo Han Lee Yong-Wook Jung Woo Rim Kang Hye-Su You Dong Hyun Kim |
| author_facet | Seung Hee Kim Jin Won Kim Seon-Young Park Hyun-Soo Kim Chae June Lim Gang Han Lee Jae Woong Lim Young Eun Seo Shin Young Park Yo Han Lee Yong-Wook Jung Woo Rim Kang Hye-Su You Dong Hyun Kim |
| author_sort | Seung Hee Kim |
| collection | DOAJ |
| description | Colonic interposition is the main procedure used in esophageal reconstruction. We report a rare case of simultaneous treatment of an anastomotic site stricture and a neoplasm in the interpositioned colon. A 69-year-old female visited our outpatient clinic with symptoms of progressive dysphagia for 1 year. At the age of 30 years, the patient underwent esophagectomy with retrosternal colonic interposition because of severe esophageal burns after chemical ingestion. Upper gastrointestinal endoscopy revealed stricture at the anastomosis site and a 10-mm flat elevated high-grade dysplasia in the interpositioned colon. First, through-the-scope balloon dilatation was performed for strictures. However, stenosis was observed during the second upper gastrointestinal endoscopy session. Therefore, a second session of through-the-scope balloon dilatation was performed, and simultaneously, endoscopic submucosal dissection was also successfully performed. After 2 months of follow-up, stenosis persisted; consequently, balloon dilatation was performed. No recurrence of neoplasm was confirmed endoscopically. Through-the-scope balloon dilatation of the stricture site and simultaneous endoscopic submucosal dissection of the neoplasm in the interpositioned colon were successfully performed. |
| first_indexed | 2024-04-24T23:45:40Z |
| format | Article |
| id | doaj.art-8e5a277183ac42fd96b4c4ddc3c9a736 |
| institution | Directory Open Access Journal |
| issn | 1598-9992 2233-6869 |
| language | English |
| last_indexed | 2024-04-24T23:45:40Z |
| publishDate | 2023-09-01 |
| publisher | Jin Publishing & Printing Co. |
| record_format | Article |
| series | The Korean Journal of Gastroenterology |
| spelling | doaj.art-8e5a277183ac42fd96b4c4ddc3c9a7362024-03-15T07:52:48ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922233-68692023-09-0182314014410.4166/kjg.2023.080Successful Simultaneous Treatment of Benign Stricture and Colonic Neoplasm Arising from Colonic Interposition after Esophagectomy: A Case ReportSeung Hee Kim0Jin Won Kim1Seon-Young Park2Hyun-Soo Kim3Chae June Lim4Gang Han Lee5Jae Woong Lim6Young Eun Seo7Shin Young Park8Yo Han Lee9Yong-Wook Jung10Woo Rim Kang11Hye-Su You12Dong Hyun Kim13https://orcid.org/0000-0001-5778-1264Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaDivision of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju, KoreaColonic interposition is the main procedure used in esophageal reconstruction. We report a rare case of simultaneous treatment of an anastomotic site stricture and a neoplasm in the interpositioned colon. A 69-year-old female visited our outpatient clinic with symptoms of progressive dysphagia for 1 year. At the age of 30 years, the patient underwent esophagectomy with retrosternal colonic interposition because of severe esophageal burns after chemical ingestion. Upper gastrointestinal endoscopy revealed stricture at the anastomosis site and a 10-mm flat elevated high-grade dysplasia in the interpositioned colon. First, through-the-scope balloon dilatation was performed for strictures. However, stenosis was observed during the second upper gastrointestinal endoscopy session. Therefore, a second session of through-the-scope balloon dilatation was performed, and simultaneously, endoscopic submucosal dissection was also successfully performed. After 2 months of follow-up, stenosis persisted; consequently, balloon dilatation was performed. No recurrence of neoplasm was confirmed endoscopically. Through-the-scope balloon dilatation of the stricture site and simultaneous endoscopic submucosal dissection of the neoplasm in the interpositioned colon were successfully performed.https://www.kjg.or.kr/journal/view.html?uid=5954&vmd=Fullcolonic neoplasmsdilatationendoscopyesophageal stenosisstricture |
| spellingShingle | Seung Hee Kim Jin Won Kim Seon-Young Park Hyun-Soo Kim Chae June Lim Gang Han Lee Jae Woong Lim Young Eun Seo Shin Young Park Yo Han Lee Yong-Wook Jung Woo Rim Kang Hye-Su You Dong Hyun Kim Successful Simultaneous Treatment of Benign Stricture and Colonic Neoplasm Arising from Colonic Interposition after Esophagectomy: A Case Report The Korean Journal of Gastroenterology colonic neoplasms dilatation endoscopy esophageal stenosis stricture |
| title | Successful Simultaneous Treatment of Benign Stricture and Colonic Neoplasm Arising from Colonic Interposition after Esophagectomy: A Case Report |
| title_full | Successful Simultaneous Treatment of Benign Stricture and Colonic Neoplasm Arising from Colonic Interposition after Esophagectomy: A Case Report |
| title_fullStr | Successful Simultaneous Treatment of Benign Stricture and Colonic Neoplasm Arising from Colonic Interposition after Esophagectomy: A Case Report |
| title_full_unstemmed | Successful Simultaneous Treatment of Benign Stricture and Colonic Neoplasm Arising from Colonic Interposition after Esophagectomy: A Case Report |
| title_short | Successful Simultaneous Treatment of Benign Stricture and Colonic Neoplasm Arising from Colonic Interposition after Esophagectomy: A Case Report |
| title_sort | successful simultaneous treatment of benign stricture and colonic neoplasm arising from colonic interposition after esophagectomy a case report |
| topic | colonic neoplasms dilatation endoscopy esophageal stenosis stricture |
| url | https://www.kjg.or.kr/journal/view.html?uid=5954&vmd=Full |
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