Successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post‐endoscopic submucosal dissection stricture
Endoscopic submucosal dissection (ESD) for extensive esophageal cancer inevitably causes a post‐ESD stricture. It may be difficult to perform additional ESD if a new lesion develops on the anus side of the post‐ESD stricture. We sometimes perform balloon dilation of post‐ESD stricture in advance, so...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | JGH Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jgh3.12437 |
| _version_ | 1818669301549236224 |
|---|---|
| author | Maiko Takita Ken Ohata Ryoju Negishi Yohei Minato Takashi Muramoto |
| author_facet | Maiko Takita Ken Ohata Ryoju Negishi Yohei Minato Takashi Muramoto |
| author_sort | Maiko Takita |
| collection | DOAJ |
| description | Endoscopic submucosal dissection (ESD) for extensive esophageal cancer inevitably causes a post‐ESD stricture. It may be difficult to perform additional ESD if a new lesion develops on the anus side of the post‐ESD stricture. We sometimes perform balloon dilation of post‐ESD stricture in advance, so we could perform ESD using a transoral scope; however, there is a risk of balloon dilation causing severe tearing of the lesions if it is located near the stricture. A 68‐year‐old man who had undergone ESD for esophageal cancer several times was diagnosed with early esophageal cancer. The lesion was located near the anus side of the post‐ESD stricture. Unfortunately, the lesion was located on another post‐ESD scar. Although ESD using a transnasal scope was a useful option, it was expected to be challenging as the submucosal layer was thought to have severe fibrosis. We attempted to perform ESD with a transoral endoscope after stepwise scope bougienage of post‐ESD stricture. |
| first_indexed | 2024-12-17T06:50:02Z |
| format | Article |
| id | doaj.art-ae1aeefe5e024008a3481daadfa59fce |
| institution | Directory Open Access Journal |
| issn | 2397-9070 |
| language | English |
| last_indexed | 2024-12-17T06:50:02Z |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | JGH Open |
| spelling | doaj.art-ae1aeefe5e024008a3481daadfa59fce2022-12-21T21:59:38ZengWileyJGH Open2397-90702021-01-015116316510.1002/jgh3.12437Successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post‐endoscopic submucosal dissection strictureMaiko Takita0Ken Ohata1Ryoju Negishi2Yohei Minato3Takashi Muramoto4Department of Gastrointestinal Endoscopy NTT Medical Center Tokyo Tokyo JapanDepartment of Gastrointestinal Endoscopy NTT Medical Center Tokyo Tokyo JapanDepartment of Gastrointestinal Endoscopy NTT Medical Center Tokyo Tokyo JapanDepartment of Gastrointestinal Endoscopy NTT Medical Center Tokyo Tokyo JapanDepartment of Gastrointestinal Endoscopy NTT Medical Center Tokyo Tokyo JapanEndoscopic submucosal dissection (ESD) for extensive esophageal cancer inevitably causes a post‐ESD stricture. It may be difficult to perform additional ESD if a new lesion develops on the anus side of the post‐ESD stricture. We sometimes perform balloon dilation of post‐ESD stricture in advance, so we could perform ESD using a transoral scope; however, there is a risk of balloon dilation causing severe tearing of the lesions if it is located near the stricture. A 68‐year‐old man who had undergone ESD for esophageal cancer several times was diagnosed with early esophageal cancer. The lesion was located near the anus side of the post‐ESD stricture. Unfortunately, the lesion was located on another post‐ESD scar. Although ESD using a transnasal scope was a useful option, it was expected to be challenging as the submucosal layer was thought to have severe fibrosis. We attempted to perform ESD with a transoral endoscope after stepwise scope bougienage of post‐ESD stricture.https://doi.org/10.1002/jgh3.12437endoscopic resectionesophageal cancerpost‐endoscopic submucosal dissection stricturescope bougienage |
| spellingShingle | Maiko Takita Ken Ohata Ryoju Negishi Yohei Minato Takashi Muramoto Successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post‐endoscopic submucosal dissection stricture JGH Open endoscopic resection esophageal cancer post‐endoscopic submucosal dissection stricture scope bougienage |
| title | Successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post‐endoscopic submucosal dissection stricture |
| title_full | Successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post‐endoscopic submucosal dissection stricture |
| title_fullStr | Successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post‐endoscopic submucosal dissection stricture |
| title_full_unstemmed | Successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post‐endoscopic submucosal dissection stricture |
| title_short | Successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post‐endoscopic submucosal dissection stricture |
| title_sort | successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post endoscopic submucosal dissection stricture |
| topic | endoscopic resection esophageal cancer post‐endoscopic submucosal dissection stricture scope bougienage |
| url | https://doi.org/10.1002/jgh3.12437 |
| work_keys_str_mv | AT maikotakita successfulesophagealendoscopicsubmucosaldissectionwithatransoralendoscopeafterstepwisescopebougienageofpostendoscopicsubmucosaldissectionstricture AT kenohata successfulesophagealendoscopicsubmucosaldissectionwithatransoralendoscopeafterstepwisescopebougienageofpostendoscopicsubmucosaldissectionstricture AT ryojunegishi successfulesophagealendoscopicsubmucosaldissectionwithatransoralendoscopeafterstepwisescopebougienageofpostendoscopicsubmucosaldissectionstricture AT yoheiminato successfulesophagealendoscopicsubmucosaldissectionwithatransoralendoscopeafterstepwisescopebougienageofpostendoscopicsubmucosaldissectionstricture AT takashimuramoto successfulesophagealendoscopicsubmucosaldissectionwithatransoralendoscopeafterstepwisescopebougienageofpostendoscopicsubmucosaldissectionstricture |